Aethena Gynecology Associates, P.S.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

AETHENA GYNECOLOGY ASSOCIATES, P.S.

Practice address

1498 SE Tech Center Place
Suite 100
Vancouver, WA 98683

Phone

(360) 693-7878

Fax

(360) 892-5724

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Leslie A Struxness, M.D.

Title

Physician/Owner

Phone

(360) 693-7878

Specialties & licenses 2

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3276/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Lynn E Osmundsen, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Vancouver, WA
  • NPI 1265409916
  NPD
• Susanne M. Davies, A.R.N.P., W.H.C.N.P.

  • Women's Health Nurse Practitioner
  • Portland, OR
  • NPI 1710077607
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1710190103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PLACE",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "360-693-7878",
            "fax_number": "360-892-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PLACE",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "360-693-7878",
            "fax_number": "360-892-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETHENA GYNECOLOGY ASSOCIATES, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "STRUXNESS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "360-693-7878",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30003214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7124332",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.