Northwest Gynecology Associates PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHWEST GYNECOLOGY ASSOCIATES PLLC

Practice address

406 SE 131St Ave BLDG C
Suite 304
Vancouver, WA 98683-4004

Phone

(360) 892-4024

Fax

(360) 892-4159

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Sally Burdick

Title

Office Manager

Phone

(360) 892-4024

Specialties & licenses 1

Addresses

Other names 1

• Women's Center for Optimum Health PLLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jane Lynell Ahearn, MD

  • Gynecology Physician
  • Vancouver, WA
  • NPI 1255423380
  NPD

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609071570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SE 131ST AVE BLDG C",
            "address_2": "SUITE 304",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834004",
            "telephone_number": "360-892-4024",
            "fax_number": "360-892-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SE 131ST AVE BLDG C",
            "address_2": "SUITE 304",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834004",
            "telephone_number": "360-892-4024",
            "fax_number": "360-892-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST GYNECOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURDICK",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-892-4024"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Center for Optimum Health PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.