Medical Center of Orting Inc PC
Organization Active NPI Clinic/Center · Orting, WA
NPI 1568523959 · NPPES record last updated Apr 18, 2018
Key facts
- NPI
- 1568523959
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- MEDICAL CENTER OF ORTING INC PC
- Practice address
- 122 Washington Ave S
Orting, WA 98360-9802 - Phone
- (360) 893-2266
- Fax
- (360) 893-2821
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Emad Nabil Girgis, MD PCP
- Title
- Owner
- Phone
- (360) 893-2266
National Provider Directory
Locations
122 Washington Ave N
Orting, WA 98360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
122 Washington Ave S
Orting, WA 98360-9802
Mailing address
PO Box 669
Orting, WA 98360-0669
Phone (360) 893-2266
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W002493 | Other | WA | CHAMPUS |
| 7000995 | Medicaid | WA | |
| MO7242 | Other | WA | REGENCE |
| CS5845 | Other | WA | RAILROAD MEDICARE |
Other providers in Orting, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.