W Richard Herbert MD PS

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00010970 Issued in WA

Legal business name

W RICHARD HERBERT MD PS

Practice address

617 Diagonal St
Clarkston, WA 99403-2041

Phone

(509) 758-5527

Fax

(509) 758-5122

NPI assigned

Sep 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wesley Richard Herbert, MD

Title

Owner

Phone

(509) 758-5527

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1760632004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 DIAGONAL ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032041",
            "telephone_number": "509-758-5527",
            "fax_number": "509-758-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 DIAGONAL ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032041",
            "telephone_number": "509-758-5527",
            "fax_number": "509-758-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W RICHARD HERBERT MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-758-5527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00010970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Clarkston, WA
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.