Active NPI
Central Washington Gastroenterology, P.C.
- Gastroenterology Physician
- Wenatchee, WA
National Provider Identifier
1619032075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7136062 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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
- Ezekiel John Cavassa
- Center for Wholistic Medicine Wenatchee Acupuncture Clinic Inc.
- Central Intelligence Agency
- Central Washigton Veterans Counseling LLC
- Central Washington Gastroenterology
- Central Washington Health Services Association (Confluece Health)
- Central Washington Health Services Association (Confluence Health Central Campus Hospital Pharmacy)
- Central Washington Health Services Association (Confluence Health Home Infusion)
- Central Washington Health Services Association (Confluence Health Hospital Inpatient Rehab Facility)
- Central Washington Health Services Association (Confluence Health)
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.