Northwest Ambulatory Physicians PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

50C0001170 Issued in WA

Legal business name

NORTHWEST AMBULATORY PHYSICIANS PLLC

Practice address

1075 Jadwin Ave
Richland, WA 99352-3437

Phone

(509) 946-3340

Fax

(509) 943-7909

NPI assigned

May 31, 2007

Organization subpart

No

Name

Brenden Manawadu

Title

Ceo

Phone

(509) 946-3340

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2013.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1508068800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1408",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993521408",
            "telephone_number": "509-946-3340",
            "fax_number": "509-943-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523437",
            "telephone_number": "509-946-3340",
            "fax_number": "509-943-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST AMBULATORY PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "MANAWADU",
        "authorized_official_first_name": "BRENDEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-946-3340"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "50C0001170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100068",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Richland, WA
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.