Active NPI
Pearl Place Womens Care
- Obstetrics & Gynecology Physician
- Tacoma, WA
National Provider Identifier
1689749715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- PEARL PLACE WOMENS CARE
- Practice address
- 6002 Westgate Blvd
Suite 230
Tacoma, WA 98406-2570 - Phone
- (253) 761-2244
- Fax
- (253) 761-1040
- NPI assigned
- Nov 22, 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. Elizabeth G Sanford, MD
- Title
- Owner President
- Phone
- (253) 761-2244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | WA | Primary |
Addresses
Primary practice location
6002 Westgate Blvd
Suite 230
Tacoma, WA 98406-2570
Mailing address
6002 Westgate Blvd
Suite 230
Tacoma, WA 98406-2570
Phone (253) 761-2244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5413PE | Other | WA | REGENCE BLUE SHIELD GROUP |
| 7116064 | Medicaid | WA |
Other names 1
- Obstetrics and Gynecology Associates of Tacoma
National Provider Directory
National Provider DirectoryLocations
6002 Westgate Blvd
Ste 230
Tacoma, WA 98406
Phone (253) 761-2244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689749715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6002 WESTGATE BLVD",
"address_2": "SUITE 230",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062570",
"telephone_number": "253-761-2244",
"fax_number": "253-761-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 WESTGATE BLVD",
"address_2": "SUITE 230",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062570",
"telephone_number": "253-761-2244",
"fax_number": "253-761-1040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARL PLACE WOMENS CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SANFORD",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "253-761-2244",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD GROUP",
"identifier": "5413PE",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7116064",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Obstetrics and Gynecology Associates of Tacoma",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- 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.