Active NPI
James B Erhardt, MD
- Otolaryngology Physician
- Everett, WA
National Provider Identifier
1043251697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD00021723
- Practice address
- 3216 Norton Ave
Suite 102
Everett, WA 98201-4290 - Phone
- (425) 261-4950
- NPI assigned
- Jun 8, 2006
- Last updated
- May 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD00021723 | WA | Primary |
Addresses
Primary practice location
3216 Norton Ave
Suite 102
Everett, WA 98201-4290
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (866) 366-2983
Other practice location 1
1330 Rockefeller Ave Ste 310
Everett, WA 98201-1677
Phone (425) 297-5350
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0195593 | Other | WA | LABOR AND INDUSTRY |
| 1301662 | Medicaid | WA | |
| MD00021723 | Other | WA | STATE LICENSE NUMBER |
| P00288625 | Other | WA | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jerhardt125184@wm.providencedirect.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD00021723 | WA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellingham Ear Nose Throat and Facial Surgery Inc | Past | Accepting new patients | |
| Bellingham Ear Nose Throat & Facial Plastic Surgery Inc PS | Past | Accepting new patients |
Interoperability endpoints
- jerhardt125184@wm.providencedirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Bellingham, WA
- NPI 1902971351
-
dba Whatcom Surgery Center
- Ambulatory Surgical Clinic/Center
- Bellingham, WA
- NPI 1144370784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1043251697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "866-366-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 NORTON AVE",
"address_2": "SUITE 102",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014290",
"telephone_number": "425-261-4950"
}
],
"practiceLocations": [
{
"address_1": "1330 Rockefeller Ave Ste 310",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982011677",
"country_code": "US",
"telephone_number": "425-297-5350",
"fax_number": "425-259-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERHARDT",
"first_name": "JAMES",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "MD00021723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "0195593",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1301662",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "MD00021723",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00288625",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jerhardt125184@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1330 Rockefeller Ave Ste 310",
"city": "Everett",
"state": "WA",
"country_code": "US",
"postal_code": "982011677",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.