Liane M. Mizgala, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD00035444 Issued in WA

Practice address

933 Red Apple Rd Ste D
Central Washington Hospital Women'S Healthcare Center
Wenatchee, WA 98801-3370

Phone

(509) 665-6125

Fax

(509) 665-6124

NPI assigned

Aug 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1659373249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 RED APPLE RD STE D",
            "address_2": "CENTRAL WASHINGTON HOSPITAL WOMEN'S HEALTHCARE CENTER",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013370",
            "telephone_number": "509-665-6125",
            "fax_number": "509-665-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 RED APPLE RD STE D",
            "address_2": "CENTRAL WASHINGTON HOSPITAL WOMEN'S HEALTHCARE CENTER",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013370",
            "telephone_number": "509-665-6125",
            "fax_number": "509-665-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZGALA",
        "first_name": "LIANE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00035444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8212854",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Obstetrics & Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.