Park Place Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD00041827 Issued in WA

Legal business name

PARK PLACE MEDICAL CENTER

Practice address

13115 NE 4TH St
Suite 230
Vancouver, WA 98684-5957

Phone

(360) 828-8008

Fax

(360) 326-1609

NPI assigned

Nov 30, 2006

Last updated

Aug 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter James Bessas, M.D.NPI 1992756498

Title

Owner

Phone

(360) 828-8008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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.

• Peter James Bessas, M.D.

  • Family Medicine Physician
  • Vancouver, WA
  • NPI 1992756498
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1780751818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13115 NE 4TH ST",
            "address_2": "SUITE 230",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845957",
            "telephone_number": "360-828-8008",
            "fax_number": "360-326-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13115 NE 4TH ST",
            "address_2": "SUITE 230",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845957",
            "telephone_number": "360-828-8008",
            "fax_number": "360-326-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "BESSAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-828-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD00041827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Rene Parent, CDPT.CO.61221382
• Brenda Parent, AAC
• Kanwar Partap Singh Parhar
• Helen Louise Paris, M.A.
• Park Lido, Inc.
• Cleo Park-Stevens
• Douglas J Park, PSYCHOLOGIST PHD
• Eun K. Park, MD
• Gloria Y Park, PHARM D
• Jennifer Park

• Primary Care Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.