Organization Active NPI

Pearl Place Womens Care

  • Obstetrics & Gynecology Physician
  • Tacoma, WA
National Provider Identifier
1689749715
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5413PEOtherWAREGENCE BLUE SHIELD GROUP
7116064MedicaidWA

Other names 1

  • Obstetrics and Gynecology Associates of Tacoma Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.