Michael D Sible, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD00026416 Issued in WA

Practice address

1213 24TH St
Suite 700
Anacortes, WA 98221-2592

Phone

(360) 293-5142

Fax

(390) 299-2043

NPI assigned

Dec 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Island Surgeons PS Inc

  • Surgery Physician
  • Anacortes, WA
  • NPI 1528127362
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1053470880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 24TH ST",
            "address_2": "SUITE 700",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212592",
            "telephone_number": "360-293-5142",
            "fax_number": "390-299-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 24TH ST",
            "address_2": "SUITE 700",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212592",
            "telephone_number": "360-293-5142",
            "fax_number": "390-299-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBLE",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00026416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8603292",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylre R. Secrist, DPT
• Ramona Jan Severson, PT
• Chance Shaffner
• Sherman Physical Therapy, P.S
• Paul Theodore Sherman, P.T.
• Robert J Sill
• Sarah Danielle Simms, OTR/L
• Sheila Simpson-Creps, LMHC
• Skidmore Pharmacy Inc
• Steve Skidmore, RPH

• Surgery Physician in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Surgery Physician in Washington

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