NPIMap

Organization Active NPI

Elizabeth M. Vennos, MD

  • Dermatology Physician
  • Bellingham, WA
National Provider Identifier
1023293792
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ELIZABETH M. VENNOS, MD
Practice address
2075 Barkley Blvd Ste 230
Bellingham, WA 98226-6697
Phone
(360) 647-2188
NPI assigned
Dec 31, 2007
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Elizabeth Mary Vennos, MDNPI 1033169511
Title
Owner
Phone
(360) 647-2188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

2075 Barkley Blvd Ste 230
Bellingham, WA 98226-6697

Mailing address

2075 Barkley Blvd Ste 230
Bellingham, WA 98226-6697
Phone (360) 647-2188

National Provider Directory

National Provider Directory

Locations

2075 Barkley Blvd
Ste 230
Bellingham, WA 98226
Phone (360) 647-2188

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1023293792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD STE 230",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266697",
            "telephone_number": "360-647-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD STE 230",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266697",
            "telephone_number": "360-647-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH M. VENNOS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "VENNOS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-647-2188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.