Orchard Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00038095 Issued in WA

Legal business name

ORCHARD MEDICAL CLINIC

Practice address

5320 Orchard St W
University Place, WA 98467

Phone

(253) 474-7100

Fax

(253) 474-2677

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Glenn A Pacio, MDNPI 1497755268

Title

Owner

Phone

(253) 474-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Orchard Medical Clinic

  • Medical Specialty Clinic/Center
  • University Place, WA
  • NPI 1255603874
  NPPES parent name

Practitioners 1

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

• Glenn Amante Pacio, MD

  • Internal Medicine Physician
  • Lakewood, WA
  • NPI 1497755268
  NPD (past) Authorized official

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1770751083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 ORCHARD ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "98467",
            "telephone_number": "925-347-4710",
            "fax_number": "253-474-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 ORCHARD ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "98467",
            "telephone_number": "253-474-7100",
            "fax_number": "253-474-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "PACIO",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-474-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00038095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1115922",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curt James Oland, OD
• Madeline Oleary, OTR/L
• Hannah Olver
• Yana Onishchenko, COTA/L
• Orchard Medical Clinic
• Michael G. Orr
• Debora W Overstreet, MD
• Pacheco & Henry DDS PS (Bridgeport Family Dentistry)
• Pacific Northwest Plastic Surgery, PS
• Pacific Vision & Hearing, PLLC

• Internal Medicine Physician in University Place, WA
• Providers in University Place, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.