Organization Active NPI

Pearletha Washington, MD PC

  • Family Medicine Physician
  • Wentzville, MO
National Provider Identifier
1750590295
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 108476 Issued in MO
Legal business name
PEARLETHA WASHINGTON, MD PC
Practice address
148 E Pearce Blvd
Wentzville, MO 63385-1511
Phone
(866) 704-9765
Fax
(636) 327-0058
NPI assigned
May 22, 2007
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. Pearletha Rozenia Washington, MD
Title
Owner
Phone
(636) 357-7667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD 108476 MO Primary

Addresses

Primary practice location

148 E Pearce Blvd
Wentzville, MO 63385-1511

Mailing address

148 E Pearce Blvd
Wentzville, MO 63385-1511
Phone (866) 704-9765

National Provider Directory

National Provider Directory

Locations

148 E Pearce Blvd
Wentzville, MO 63385
Phone (636) 362-4075

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750590295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 E PEARCE BLVD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851511",
            "telephone_number": "866-704-9765",
            "fax_number": "636-327-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E PEARCE BLVD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851511",
            "telephone_number": "866-704-9765",
            "fax_number": "636-327-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLETHA WASHINGTON, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "PEARLETHA",
        "authorized_official_middle_name": "ROZENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-357-7667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD 108476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

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.