Dawn C Knight, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · La Grande, OR
NPI 1689699787 · NPPES record last updated Oct 17, 2011
Key facts
- NPI
- 1689699787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD017839 (LA)
- Practice address
- 610 Sunset
La Grande, OR 97850 - Phone
- (541) 663-3175
- Fax
- (318) 387-7919
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100421000583 | OR | Practitioner - Obstetrics/Gynecology | 6608963608 | |
| I20130731000110 | WA | Practitioner - Obstetrics/Gynecology | 6608963608 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD017839 | LA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Washington, PC | Obstetrics & Gynecology | Current |
Accepting new patients |
Locations
1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD017839 | LA | Yes |
Addresses
Primary practice location
610 Sunset
La Grande, OR 97850
Mailing address
610 Sunset
La Grande, OR 97850
Phone (541) 663-3175
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39156 | Other | LA | BLUE CROSS BLUE SHIELD |
| 1352721 | Medicaid | LA |
Other providers in La Grande, OR
- Kenton Dell Kirby
- Daniel Kirkham
- Kade Kirschner
- Jacqui Kleeman
- Sheridan D Klinger
- Kimberlee Knight
- Patrick Knight
- Eve Koltuv
- Dayneen Koopman
- James R Kopp
All providers in La Grande, OR · Obstetrics & Gynecology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.