Active NPI
Edward W. Hartzler, MD, Inc, PS
- Family Medicine Physician
- Burien, WA
National Provider Identifier
1043401102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00013292
- Legal business name
- EDWARD W. HARTZLER, MD, INC, PS
- Practice address
- 16110 8TH Ave SW
Suite a-3
Burien, WA 98166-2962 - Phone
- (206) 244-2422
- Fax
- (206) 304-5034
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward W Hartzler, MD
- Title
- Owner
- Phone
- 20624222422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00013292 | WA | Primary |
Addresses
Primary practice location
16110 8TH Ave SW
Suite a-3
Burien, WA 98166-2962
Mailing address
PO Box 84921
Seattle, WA 98124-6221
Phone (206) 439-2988
National Provider Directory
National Provider DirectoryLocations
16233 Sylvester Rd SW
Ste 210
Burien, WA 98166
Phone (206) 244-2422
Interoperability endpoints
- https://api.platform.athenahealth.com/9106/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398988800000",
"number": "1043401102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84921",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981246221",
"telephone_number": "206-439-2988",
"fax_number": "206-431-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16110 8TH AVE SW",
"address_2": "SUITE A-3",
"city": "BURIEN",
"state": "WA",
"postal_code": "981662962",
"telephone_number": "206-244-2422",
"fax_number": "206-304-5034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD W. HARTZLER, MD, INC, PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2014-05-02",
"status": "A",
"authorized_official_last_name": "HARTZLER",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "20624222422",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00013292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.