NPIMap

Organization Active NPI

Washington Orthopaedic Center, Inc., PS

  • Orthopaedic Surgery Physician
  • Centralia, WA
National Provider Identifier
1689787103
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
WASHINGTON ORTHOPAEDIC CENTER, INC., PS
Practice address
1900 Cooks Hill Rd
Centralia, WA 98531-9073
Phone
(360) 736-2889
Fax
(360) 736-9777
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Wanda Garza
Title
Billing Supervisor
Phone
(360) 330-1891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1900 Cooks Hill Rd
Centralia, WA 98531-9073

Mailing address

1900 Cooks Hill Rd
Centralia, WA 98531-9073
Phone (360) 736-2889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040308000977 WA Part B Supplier - Clinic/Group Practice 5496643165 Receives reassigned benefits from 19 practitioners
2 other NPIs on this enrollment
Practice locations: Centralia, WA; Elma, WA; Olympia, WA
O20100930025967 WA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5496643165 Practice locations: Centralia, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1689787103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 COOKS HILL RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319073",
            "telephone_number": "360-736-2889",
            "fax_number": "360-736-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COOKS HILL RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319073",
            "telephone_number": "360-736-2889",
            "fax_number": "360-736-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON ORTHOPAEDIC CENTER, INC., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "360-330-1891"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.