NPI Code Detail JSON Logo

1972339877 NPI number — PACIFIC NW FERTILITY AND IVF SPECIALISTS. I. PLLC

NPI Number: 1972339877
Health Care Provider/Practitioner: PACIFIC NW FERTILITY AND IVF SPECIALISTS. I. PLLC

Information about “1972339877” NPI (PACIFIC NW FERTILITY AND IVF SPECIALISTS. I. PLLC) exists in 1972339877 in HTML format HTML  |  1972339877 in plain Text format TXT  |  1972339877 in PDF (Portable Document Format) PDF  |  1972339877 in an XML format XML  formats.

NPI Number : 1972339877 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972339877",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PACIFIC NW FERTILITY AND IVF SPECIALISTS. I. PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1101 MADISON ST STE 1050",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98104-3558",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-515-0000",
    "MailingAddressFaxNumber": "206-515-0001",
    "FirstLinePracticeLocationAddress": "1231 116TH AVE NE STE 750",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BELLEVUE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98004-3812",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-515-0000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/09/2024",
    "LastUpdateDate": "09/20/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SAECHAO",
    "AuthorizedOfficialFirstName": "MEY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CREDENTIALING COORDINATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "206-515-0054",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207VE0102X",
          "TaxonomyName": "Reproductive Endocrinology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QA0006X",
          "TaxonomyName": "Ambulatory Fertility Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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