Organization Active NPI

Teddy Bear Obstetrics & Gynecology PS

  • Obstetrics Physician
  • Kennewick, WA
National Provider Identifier
1598786105
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
00025747 Issued in WA
Legal business name
TEDDY BEAR OBSTETRICS & GYNECOLOGY PS
Practice address
711 S Auburn St
Suite P
Kennewick, WA 99336-5665
Phone
(509) 582-0400
Fax
(509) 582-0408
NPI assigned
Jul 21, 2006
Last updated
Sep 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Dr. John Christian Perry, M.D.NPI 1679637920
Title
Owner
Phone
(509) 582-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 00025747 WA
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X 00025747 WA Primary

Addresses

Primary practice location

711 S Auburn St
Suite P
Kennewick, WA 99336-5665

Mailing address

711 S Auburn St
Suite P
Kennewick, WA 99336-5665
Phone (509) 582-0400

Other names 1

  • John C. Perry, M.D. Former legal business name

National Provider Directory

National Provider Directory

Locations

711 S Auburn St
#P
Kennewick, WA 99336
Phone (509) 582-0400

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1598786105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S AUBURN ST",
            "address_2": "SUITE P",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365665",
            "telephone_number": "509-582-0400",
            "fax_number": "509-582-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S AUBURN ST",
            "address_2": "SUITE P",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365665",
            "telephone_number": "509-582-0400",
            "fax_number": "509-582-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEDDY BEAR OBSTETRICS & GYNECOLOGY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-582-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WA",
            "license": "00025747",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "WA",
            "license": "00025747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John C. Perry, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.