Individual provider Active NPI

John E Eiland Jr., DO

  • Obstetrics & Gynecology Physician
  • Hoquiam, WA
National Provider Identifier
1588730337
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OP00001933 Issued in WA
Practice address
815 K St
Hoquiam, WA 98550-3705
Phone
(360) 537-6430
NPI assigned
Nov 24, 2006
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OP00001933 WA Primary

Addresses

Primary practice location

815 K St
Hoquiam, WA 98550-3705

Mailing address

815 K St
Hoquiam, WA 98550-3705
Phone (360) 537-6430

Other identifiers 1

IdentifierTypeStateIssuer
8402042MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831000179 WA Practitioner - Obstetrics/Gynecology 8022083393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grays Harbor Community HospitalGroup PAC ID 3577462365, 91 clinicians

Practice addresses (Care Compare)

815 K St
Hoquiam, WA 98550-3705
Phone (360) 537-6430

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor Community Hospital Obstetrics & Gynecology CurrentSince May 1, 2017 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
GHCH Physician Services, LLC Obstetrics & Gynecology CurrentSince May 1, 2017 Accepting new patients
Grays Harbor Community Hospital CurrentSince Feb 1, 2020 Accepting new patients
Grays Harbor Community Hospital CurrentSince Feb 1, 2020 Accepting new patients
Grays Harbor Womens Clinic PLLC Obstetrics & Gynecology Past Accepting new patients

Locations

1006 N H St
Fl 4
Aberdeen, WA 98520
Phone (360) 537-6450

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

815 K St
Hoquiam, WA 98550
Phone (360) 533-2734

319 E Pioneer Ave
Montesano, WA 98563
Phone (360) 249-1980

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1588730337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 K ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985503705",
            "telephone_number": "360-537-6430",
            "fax_number": "360-249-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 K ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985503705",
            "telephone_number": "360-537-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILAND",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "OP00001933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8402042",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoquiam, WA

Sources for this page

Verify at the official NPI Registry.