# OBSTETRIX MEDICAL GROUP OF WASHINGTON INC PS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861599573
- **Authorized official:** NANETTE SANDERS (ASSISTANT SECRETARY)
- **Authorized official phone:** (800) 243-3839

## Contact information

- **Practice address:** 1229 MADISON ST STE 750, SEATTLE, WA 98104-3540
- **Practice address phone:** (206) 386-2101
- **Mailing address:** 1301 CONCORD TER, SUNRISE, FL 33323-2843
- **Mailing address phone:** (954) 384-0175
- **Mailing address fax:** (954) 851-1948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/17/2006
- **Last updated:** 10/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7099179 | — | WA |
| 05 | — | 7107162 | — | WA |
| 05 | — | 807704300 | — | ID |
| 05 | — | MDG46WA | — | AK |
| 05 | — | MDG47WA | — | AK |