Pacific Gastroenterology PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PACIFIC GASTROENTEROLOGY PLLC

Practice address

8506 E Mill Plain Blvd
Suite C
Vancouver, WA 98664-2011

Phone

(360) 823-0880

NPI assigned

Dec 31, 2015

Last updated

Dec 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mehdi FerdowsNPI 1518960616

Title

Medical Director

Phone

(360) 823-0880

Specialties & licenses 1

Addresses

Listed as

Pacific Gastroenterology PLLCCCN 50C0001318

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mehdi S Ferdows, MD, PHD

  • Specialist
  • Vancouver, WA
  • NPI 1518960616
  Authorized official Same address or phone
• Christopher Eric Mershon, M.D.

  • Urology Physician
  • Portland, OR
  • NPI 1912011677
  NPD (past)

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1588029870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8506 E MILL PLAIN BLVD",
            "address_2": "SUITE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642011",
            "telephone_number": "360-823-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8506 E MILL PLAIN BLVD",
            "address_2": "SUITE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642011",
            "telephone_number": "360-823-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "FERDOWS",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-823-0880",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Eye Group
• Pacific Eye Group, PC (Pacific Eye Group)
• Pacific Gastro Health PLLC
• Pacific Gastro Health PLLC
• Pacific Gastroenterology PLLC
• Pacific Island Community of Oregon LLC
• Pacific Midwifery Service
• Pacific Midwifery Service LLC
• Pacific Northwest Electrology LLC
• Pacific Northwest Pain Center

• Ambulatory Surgical Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.