NPIMap

Organization Active NPI

Our Lady of Lourdes Health Center

  • Surgery Physician
  • Pasco, WA
National Provider Identifier
1518267129
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
113003371 Issued in WA
Legal business name
OUR LADY OF LOURDES HEALTH CENTER
Doing business as
Lourdes Surgical Assoicates
Practice address
1200 N 14TH Ave
Suite 400
Pasco, WA 99301-4182
Phone
(509) 547-0027
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Serle
Title
Ceo
Phone
(509) 547-7704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 113003371 WA Primary

Addresses

Primary practice location

1200 N 14TH Ave
Suite 400
Pasco, WA 99301-4182

Mailing address

1200 N 14TH Ave
Suite 400
Pasco, WA 99301-4182
Phone (509) 547-0027

Other names 1

  • Lourdes Surgical Assoicates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1518267129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N 14TH AVE",
            "address_2": "SUITE 400",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014182",
            "telephone_number": "509-547-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N 14TH AVE",
            "address_2": "SUITE 400",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014182",
            "telephone_number": "509-547-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "SERLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-547-7704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "113003371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes Surgical Assoicates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.