Active NPI
Tri-Cities Digestive Health Center, P.S.
- Endoscopy Clinic/Center
- Richland, WA
National Provider Identifier
1689840670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- TRI-CITIES DIGESTIVE HEALTH CENTER, P.S.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7109432 | Medicaid | WA |
Other names 1
- Tri-Cities Digestive Health ASC
National Provider Directory
National Provider Directory- Part of
- Tri-Cities Digestive Health Center PS
Interoperability endpoints
- 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.
-
- Anesthesiology Physician
- Richland, WA
- NPI 1972555175
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
- Tri-Cities Community Health
- Tri-Cities Community Health
- Tri-Cities Community Health (TCCH Pharmacy-Richland)
- Tri-Cities Community Health
- Tri-Cities Diabetes PLLC
- Tri-Cities Laboratory LLC
- Tri-Cities Laboratory LLC
- Tri-Cities Marital and Family Therapy
- Tri-Cities Nephrology, LLC
- Tri-Cities Physical Med & Rehab
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.