Evergreen Womens Speciality Clinic

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

EVERGREEN WOMENS SPECIALITY CLINIC

Practice address

13030-121St. Way NE
202
Kirkland, WA 98034-3008

Phone

(425) 821-2020

Fax

(425) 823-8273

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gill Earl Anderson, MD

Title

President

Phone

(425) 821-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679623912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030-121ST.WAY NE",
            "address_2": "202",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343008",
            "telephone_number": "425-821-2020",
            "fax_number": "425-823-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030-121ST. WAY NE",
            "address_2": "202",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343008",
            "telephone_number": "425-821-2020",
            "fax_number": "425-823-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN WOMENS SPECIALITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GILL",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-821-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Surgery Center, LLC
• Evergreen Telepsychiatry PLLC
• Evergreen Urology Assoc Inc PS
• Evergreen Women'S Care, PLLC
• Evergreen Women'S Health Center PLLC
• Evergreenhealth
• Evergreenhealth Value Network, LLC
• Evergreenhealthcare
• Anna Marinda Evershed, N.D.
• Execmed, LLC

• Gynecology Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Gynecology Physician 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.