Individual provider Active NPI

Kirk Peter Gasper, M.D.

  • Family Medicine Physician
  • Oak Harbor, WA
National Provider Identifier
1003899899
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60954340 Issued in WA
Practice address
1150 SW Fleet St
Oak Harbor, WA 98277-3129
Phone
(360) 499-4317
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60954340 WA Primary

Addresses

Primary practice location

1150 SW Fleet St
Oak Harbor, WA 98277-3129

Mailing address

1150 SW Fleet St
Oak Harbor, WA 98277-3129
Phone (360) 499-4317

Other practice location 1

Naval Health Clinic Oak Harbor 3475 N Saratoga
Oak Harbor, WA 98278-3129
Phone (360) 257-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60954340WAMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1003899899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SW FLEET ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773129",
            "telephone_number": "360-499-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SW FLEET ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773129",
            "telephone_number": "360-499-4317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Naval Health Clinic Oak Harbor 3475 N Saratoga",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982783129",
            "country_code": "US",
            "telephone_number": "360-257-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASPER",
        "first_name": "KIRK",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60954340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.