Active NPI
Ralph Wendell Pierce, MD
- Orthopaedic Surgery Physician
- Vancouver, WA
National Provider Identifier
1790798361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD60005629
- Practice address
- 200 NE Mother Joseph PL
Suite 210
Vancouver, WA 98664-3299 - Phone
- (360) 254-6161
- Fax
- (360) 449-1139
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD60005629 | WA | Primary |
Addresses
Primary practice location
200 NE Mother Joseph PL
Suite 210
Vancouver, WA 98664-3299
Mailing address
200 NE Mother Joseph PL
Suite 210
Vancouver, WA 98664-3299
Phone (360) 254-6161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B07089 | Other | MA | BC/BS OF MA |
| 702532 | Other | MA | TUFTS HEALTH PLAN |
Other names 1
- Dr. R. Wendell Pierce
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J and D Physical Therapy Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Rebound Orthopedic Physical Therapy
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1134299951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225065600000",
"number": "1790798361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL",
"address_2": "SUITE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643299",
"telephone_number": "360-254-6161",
"fax_number": "360-449-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL",
"address_2": "SUITE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643299",
"telephone_number": "360-254-6161",
"fax_number": "360-449-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "RALPH",
"middle_name": "WENDELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2008-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD60005629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MA",
"identifier": "B07089",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "702532",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "R.",
"last_name": "PIERCE",
"middle_name": "WENDELL",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.