NPIMap

Organization Active NPI

Kitsap Chest Consultants PLLC

  • Specialist
  • Bremerton, WA
National Provider Identifier
1033130745
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
602542295 Issued in WA
Legal business name
KITSAP CHEST CONSULTANTS PLLC
Practice address
1225 Campbell Way Ste 201
Bremerton, WA 98310-3323
Phone
(360) 479-8057
Fax
(360) 479-0108
NPI assigned
Jul 21, 2006
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Dr. Griffith BlackmonNPI 1609836824
Title
Partner
Phone
(360) 479-8057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 602542295 WA Primary

Addresses

Primary practice location

1225 Campbell Way Ste 201
Bremerton, WA 98310-3323

Mailing address

1225 Campbell Way Ste 201
Bremerton, WA 98310-3323
Phone (360) 479-8057

Other names 1

  • KITSAP CRITICAL CARE, PLLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1033130745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CAMPBELL WAY STE 201",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103323",
            "telephone_number": "360-479-8057",
            "fax_number": "360-479-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CAMPBELL WAY STE 201",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103323",
            "telephone_number": "360-479-8057",
            "fax_number": "360-479-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP CHEST CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "GRIFFITH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "360-479-8057",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "602542295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KITSAP CRITICAL CARE, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.