Organization Active NPI

Tri-Cities Digestive Health Center, P.S.

  • Endoscopy Clinic/Center
  • Richland, WA
National Provider Identifier
1689840670
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
TRI-CITIES DIGESTIVE HEALTH CENTER, P.S.
Practice address
780 Swift Blvd Ste 280
Richland, WA 99352-3582
Phone
(509) 946-9747
Fax
(509) 946-0970
NPI assigned
Apr 30, 2008
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
TRI-CITIES DIGESTIVE HEALTH CENTER, P.S.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Somprak Boonpongmanee, M.D.
Title
Owner
Phone
(509) 946-9747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X NU Primary

Addresses

Primary practice location

780 Swift Blvd Ste 280
Richland, WA 99352-3582

Mailing address

780 Swift Blvd Ste 280
Richland, WA 99352-3582
Phone (509) 946-9747

Other identifiers 1

IdentifierTypeStateIssuer
7109432MedicaidWA

Other names 1

  • Tri-Cities Digestive Health ASC Other name

National Provider Directory

National Provider Directory
Part of
Tri-Cities Digestive Health Center PS

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIGBAA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1689840670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SWIFT BLVD STE 280",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523582",
            "telephone_number": "509-946-9747",
            "fax_number": "509-946-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SWIFT BLVD STE 280",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523582",
            "telephone_number": "509-946-9747",
            "fax_number": "509-946-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES DIGESTIVE HEALTH CENTER, P.S.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-CITIES DIGESTIVE HEALTH CENTER, P.S.",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "BOONPONGMANEE",
        "authorized_official_first_name": "SOMPRAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-946-9747",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7109432",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Cities Digestive Health ASC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.