PEACEHEALTH MEDICAL GROUP
NPI 1609061969
Surgery in Vancouver, WA

Q: What is Peacehealth's NPI number?

The NPI number for Peacehealth is 1609061969. It was assigned to this organization in the NPPES registry on September 10, 2007. The provider is doing business as Peacehealth Medical Group.

Q: What is Peacehealth's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Peacehealth was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 10, 2007

505 NE 87TH AVE, SUITE 301, VANCOUVER, WA 98664(360) 514-7374(360) 514-7384 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2021, Feb 9, 2021, Aug 26, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Peacehealth Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACEHEALTH MEDICAL GROUP (NPI 1609061969) is a healthcare organization registered as a surgery in Vancouver, Washington and active in the NPI registry since September 2007. The organization lists Darrin Montalvo, Evp Chief Finan-growth Officer, as its authorized official.

NPPES Registry Identity

NPI1609061969

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NamePEACEHEALTH

Location Address505 NE 87TH AVE, SUITE 301Vancouver, WA 98664-1965

Mailing Address1115 Se 164th Ave, Dept 358Vancouver, WA 98683-9324 · (360) 729-1412 · Fax (360) 501-7555

Phone(360) 514-7374

Fax(360) 514-7384

Organization SubpartNo

Authorized OfficialDarrin MontalvoEvp Chief Finan-growth Officer · (360) 729-1102

Enumeration DateSeptember 10, 2007

Last NPPES UpdateMarch 8, 20214 updates tracked since enumeration

NPPES CertifiedMarch 8, 2021

✔ NPI 1609061969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in WA · MD00027022

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

505 NE 87TH AVE, Vancouver, WA 98664

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Other Names 1

Doing Business AsPeacehealth Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Peacehealth Medical Group Eye Care carries, from the Medicare DMEPOS supplier directory.

Peacehealth Medical Group Eye Care

DMEPOS supplier · Vancouver, WAOperated by Peacehealth

✔

Accepts Medicare assignment

Peacehealth Medical Group Eye Care agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20559809

Medicare Participant SinceJanuary 1, 2008

Supplier Location505 NE 87th Ave Suite 100Vancouver, WA 98664

Phone(360) 514-7210

Supplier Specialties

Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Prosthetic Lenses: Conventional Contact Lenses

Conventional Contact Lenses

Prosthetic Lenses: Prosthetics Cataract Lenses

Cataract Eyeglasses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADAM LOUIS RASKY MD

Ophthalmology

505 NE 87TH AVE, SUITE 100
VANCOUVER, WA 98664

Clark County (360) 904-6781

AIDAN H DERENNE MD

Pediatrics (Adolescent Medicine)

505 NE 87TH AVE, STE 120
VANCOUVER, WA 98664

Clark County (360) 892-1635

CHARLES E FUCHS MD

Pediatrics (Adolescent Medicine)

505 NE 87TH AVE, STE 120
VANCOUVER, WA 98664

Clark County (360) 892-1635

MR. ALAMANDER HICKS PHD

Audiologist

505 NE 87TH AVE, SUITE 150
VANCOUVER, WA 98664

Clark County (360) 892-9367

ERIN P GIBBONS M.D.

Urology

505 NE 87TH AVE, SUITE 200
VANCOUVER, WA 98664

Clark County (360) 256-8836

KATHERINE ELIZABETH HOLLAND M.D.

Pediatrics (Adolescent Medicine)

505 NE 87TH AVE, SUITE 120
VANCOUVER, WA 98664

Clark County (360) 892-1635

JENNIFER L SODEN MD

Pediatrics (Adolescent Medicine)

505 NE 87TH AVE, STE 120
VANCOUVER, WA 98664

Clark County (360) 892-1635

RICHARD A BERNHEIMER JR. MD

Ophthalmology

505 NE 87TH AVE, SUITE 100
VANCOUVER, WA 98664

Clark County (360) 904-6781

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peacehealth's NPI number?

The NPI number for Peacehealth is 1609061969. It was assigned to this organization in the NPPES registry on September 10, 2007. The provider is doing business as Peacehealth Medical Group.

Where is Peacehealth located?

Peacehealth is located at 505 NE 87th Ave Suite 301, Vancouver, WA 98664. The listed phone number is (360) 514-7374.

What is Peacehealth's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Peacehealth accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Peacehealth Medical Group Eye Care accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Peacehealth accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Peacehealth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peacehealth was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.