Active NPI
Our Lady of Lourdes Health Center
Doing business as Lourdes Physician Group at the Hospital
- Neurology Physician
- Pasco, WA
National Provider Identifier
1821386822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- OUR LADY OF LOURDES HEALTH CENTER
- Doing business as
- Lourdes Physician Group at the Hospital
- Practice address
- 520 N 4TH Ave
Pasco, WA 99301-5257 - Phone
- (509) 416-8849
- NPI assigned
- Jul 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Serle
- Title
- Patient Account Supervisor
- Phone
- (509) 543-2483
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Gastroenterology Physician | 207RG0100X | WA | ||
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
520 N 4TH Ave
Pasco, WA 99301-5257
Mailing address
520 N 4TH Ave
1St Floor
Pasco, WA 99301-5257
Phone (509) 546-2231
Other names 1
- Lourdes Physician Group at the Hospital
National Provider Directory
National Provider DirectoryLocations
527 N 4TH Ave
Pasco, WA 99301
526 N 4TH Ave
Pasco, WA 99301
533 N 4TH Ave
Pasco, WA 99301
1200 N 14th Ave
Ste 220
Pasco, WA 99301
Phone (509) 545-4800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Pasco, WA
- NPI 1891807053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359417600000",
"number": "1821386822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N 4TH AVE",
"address_2": "1ST FLOOR",
"city": "PASCO",
"state": "WA",
"postal_code": "993015257",
"telephone_number": "509-546-2231",
"fax_number": "509-543-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 4TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "993015257",
"telephone_number": "509-416-8849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR LADY OF LOURDES HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-12",
"last_updated": "2013-01-29",
"status": "A",
"authorized_official_last_name": "SERLE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PATIENT ACCOUNT SUPERVISOR",
"authorized_official_telephone_number": "509-543-2483"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lourdes Physician Group at the Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pasco, WA
- Our Lady of Lourdes Health Center (Lourdes Surgical Assoicates)
- Our Lady of Lourdes Health Center (Lourdes Urology East)
- Our Lady of Lourdes Health Center (Lourdes West Pasco)
- Our Lady of Lourdes Health Center (Anesthesia Alliance)
- Our Lady of Lourdes Health Center (Lourdes Pulmonary Services)
- Our Lady of Lourdes Health Center Dba Lourdes Ear Nose and Throat Asso
- Our Lady of Lourdes Hospital at Pasco (Lourdes Health and Wellness Center)
- Our Lady of Lourdes Hospital at Pasco (Lourdes Occupational Health Center)
- Our Lady of Lourdes Hospital at Pasco (Lourdes Occupational Health Center)
- Our Lady of Lourdes Hospital at Pasco (Lourdes Urgent Care Radiology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.