Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VANCOUVER EAR, NOSE & THROAT HEAD & NECK SURGERY CLINIC, PS

Doing business as

Vancouver Ear, Nose & Throat Head & Neck Surgery Center

Practice address

14411 NE 20TH Ave
Suite 101
Vancouver, WA 98686-6431

Phone

(360) 256-4425

Fax

(360) 260-7249

NPI assigned

Aug 7, 2007

Last updated

Aug 7, 2007By 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

Mr. Nathan J Geigle

Title

Practice Manager

Phone

(360) 449-6612

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vancouver Ear, Nose & Throat Head & Neck Surgery Center Doing business as

Tax ID family

Vancouver Ear Nose Throat Head Neck Surgery Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS

  dba Vancouver Ear, Nose & Throat Head & Neck Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vancouver, WA
  • NPI 1558552380
  NPD tax ID
• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS

  • Clinic/Center
  • Vancouver, WA
  • NPI 1649461476
  NPD tax ID
• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS

  • Clinic/Center
  • Vancouver, WA
  • NPI 1912198748
  NPD tax ID

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1821289653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SE 164TH AVE",
            "address_2": "SUITE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839644",
            "telephone_number": "360-256-4425",
            "fax_number": "360-260-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 NE 20TH AVE",
            "address_2": "SUITE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866431",
            "telephone_number": "360-256-4425",
            "fax_number": "360-260-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER EAR, NOSE & THROAT HEAD & NECK SURGERY CLINIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "GEIGLE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "360-449-6612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7092885",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vancouver Ear, Nose & Throat Head & Neck Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.