OUR LADY OF LOURDES HEALTH CENTER (NPI# 1649785569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649785569 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF LOURDES HEALTH CENTER |
| Other Organization Name | LOURDES UROLOGY EAST |
| Practice Address |
507 N 5th Ave Pasco WA 99301-5201 |
| Mailing Address |
520 N 4th Ave Pasco WA 99301-5257 |
| Practice Telephone | 5095462300 |
| Practice Fax Number | 5095462301 |
| Mailing Telephone | 5095477704 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | ANA ZARAGOZA (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 5094168849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lourdes Urology East | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659505840 | Our Lady of Lourdes Health Center | Obstetrics & Gynecology | 7425 Wrigley Drive, Pasco, WA 99301 | 2009-05-04 |
| 1235678772 | Our Lady of Lourdes Health Center | Psychiatric Residential Treatment Facility | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2017-02-16 |
| 1700245511 | Our Lady of Lourdes Health Center | Pharmacy | 1175 Carondelet Dr, Attn: Pharmacy, Richland, WA 99354-3300 | 2016-02-22 |
| 1821386822 | Our Lady of Lourdes Health Center | Acupuncturist | 520 N 4th Ave, Pasco, WA 99301-5257 | 2011-07-12 |
| 1326335712 | Our Lady of Lourdes Health Center | Pediatrics | 815 S Auburn St, Kennewick, WA 99336-5661 | 2011-07-06 |
| 1093006447 | Our Lady of Lourdes Health Center | Family Medicine | 1200 N 14th Ave, Pasco, WA 99301-4182 | 2011-04-20 |
| 1518267129 | Our Lady of Lourdes Health Center | Surgery | 1200 N 14th Ave, Suite 400, Pasco, WA 99301-4182 | 2010-10-28 |
| 1366682973 | Our Lady of Lourdes Health Center | Hospitalist | 520 N 4th Ave, Pasco, WA 99301-5257 | 2009-02-23 |
| 1104093368 | Our Lady of Lourdes Health Center | Clinic/Center | 5304 N Road 68, Pasco, WA 99301-9189 | 2008-05-15 |
| 1689718777 | Our Lady of Lourdes Health Center | Anesthesiology | 520 N 4th Ave, Pasco, WA 99301-5257 | 2007-02-20 |
| Street Address |
507 N 5TH AVE |
| City | PASCO |
| State | WA |
| Zip Code | 99301-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366407942 | Kenneth Alan Berger | Urology | 507 N 5th Ave, Pasco, WA 99301-5201 | 2006-04-18 |
| 1093187585 | Our Lady of Lourdes Hospital At Pasco | Occupational Therapist | 507 N 5th Ave, Pasco, WA 99301-5201 | 2015-10-23 |
| 1609017375 | Sara Kahealani Woodruff | Physician Assistant | 507 N 5th Ave, Pasco, WA 99301-5201 | 2009-03-10 |
| 1528241007 | Tri-cities Community Health | Family Medicine | 507 N 5th Ave, Pasco, WA 99301-5201 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
| 1558883157 | Cecilia Carmen Asenjo | Registered Nurse | 715 W Court Street, Pasco, WA 99301 | 2017-07-14 |
| 1528451085 | Felix Ramos | Dentist | 7425 Wrigley Dr Ste 201, Pasco, WA 99301 | 2015-03-09 |
| 1861896631 | Tri-cities Community Health | General Practice | 1801 E Sheppard St, Pasco, WA 99301 | 2014-10-22 |
| 1649617861 | Thompson.ferguson,steinhart. James.pllc | Dentist | 6525 Burden Blvd, Pasco, WA 99301 | 2013-05-29 |
| 1598008880 | Thompson. Ferguson. Steinhart. James, Pllc | Dentist | 6525 Burden Boulevard, Pasco, WA 99301 | 2013-04-04 |
| 1639421720 | Comprehensive Healthcare | Community/Behavioral Health | 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 | 2012-10-12 |
| 1497065395 | Danny M Trapp Jr. | Counselor | 516 W. Margaret, Pasco, WA 99301 | 2010-10-14 |
| 1740510486 | Columbia Basin College | Dental Hygienist | 2600 N 20th Ave, Ms T-1, Pasco, WA 99301 | 2009-12-31 |
| 1417286386 | Wanda Marie Good | Surgery | 1200 N 14th Ave Ste 255, Pasco, WA 99301 | 2009-12-23 |
| Find all providers in zip 99301 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366407942 | Kenneth Alan Berger | Urology | 507 N 5th Ave, Pasco, WA 99301-5201 | 2006-04-18 |
| 1326261637 | David D Vance | Urology | 1200 N 14th Ave, Suite 240, Pasco, WA 99301-4182 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1023400041 | Pacific Northwest Urology Specialists, Pllc | Urology | 4545 Cordata Pkwy Ste 1a, Bellingham, WA 98226-7264 | 2015-02-27 |
| 1598182818 | Boston Medical Group- Washington, P.C. | Urology | 12301 N.e. 10th Place, Suite 101, Bellevue, WA 98005 | 2014-03-25 |
| 1033552823 | Carol Collins | Urology | 272 Health Sciences, 1959 Ne Pacific St, Seattle, WA 98195-7610 | 2013-04-10 |
| 1740523158 | Kacey Helena Provenzano | Urology | 780 Swift Blvd Ste 201, Richland, WA 99352 | 2013-04-03 |
| 1023366283 | William P Griggs | Urology | 2160 Dellesta Dr, Bellingham, WA 98226-7850 | 2012-08-20 |
| 1710242714 | Ralph Vernon Stagner | Urology | 3414 Horsehead Bay Dr. N.w., Gig Harbor, WA 98335 | 2012-07-06 |
| 1043579980 | Richard Kenneth Ohme | Urology | 3108 E Bay Dr Nw, Gig Harbor, WA 98335-7610 | 2012-05-13 |
| 1730447731 | Daniel Christian Sackman | Urology | 3124 South 19th St #c320, Tacoma, WA 98405-3011 | 2012-04-26 |
| 1144595299 | Philip Clark May | Urology | 11911 Ne 132nd St Ste 200, Kirkland, WA 98034 | 2012-03-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.