Organization Active NPI

Edward W. Hartzler, MD, Inc, PS

  • Family Medicine Physician
  • Burien, WA
National Provider Identifier
1043401102
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00013292 Issued in WA
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

Updated by the provider on May 2, 2014

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

16233 Sylvester Rd SW
Ste 210
Burien, WA 98166
Phone (206) 244-2422

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.