Organization Active NPI

Central Washington Gastroenterology, P.C.

  • Gastroenterology Physician
  • Wenatchee, WA
National Provider Identifier
1619032075
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CENTRAL WASHINGTON GASTROENTEROLOGY, P.C.
Practice address
175 E Penny Rd Ste C
Wenatchee, WA 98801-8127
Phone
(509) 669-3431
Fax
(509) 665-8043
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Gerald A Bassett, MD, FACG
Title
Incorporator
Phone
(509) 669-3431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

175 E Penny Rd Ste C
Wenatchee, WA 98801-8127

Mailing address

175 E Penny Rd Ste C
Wenatchee, WA 98801-8127
Phone (509) 669-3431

Other identifiers 1

IdentifierTypeStateIssuer
7136062MedicaidWA

National Provider Directory

National Provider Directory

Locations

175 E Penny Rd
Ste C
Wenatchee, WA 98801
Phone (509) 664-0530

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1619032075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E PENNY RD STE C",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988018127",
            "telephone_number": "509-669-3431",
            "fax_number": "509-665-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E PENNY RD STE C",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988018127",
            "telephone_number": "509-669-3431",
            "fax_number": "509-665-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WASHINGTON GASTROENTEROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "509-669-3431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACG"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7136062",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.