Active NPI
Melanie McGrory, MD
- Family Medicine Physician
- Port Townsend, WA
National Provider Identifier
1063560191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00026907
- Practice address
- 1136 Water St
Suite 111
Port Townsend, WA 98368-6728 - Phone
- (360) 379-4767
- Fax
- (360) 385-0083
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00026907 | WA | Primary |
Addresses
Primary practice location
1136 Water St
Suite 111
Port Townsend, WA 98368-6728
Mailing address
1136 Water St
Suite 111
Port Townsend, WA 98368-6728
Phone (360) 379-4767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD00026907 | Other | WA | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| MD00026907 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1063560191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 WATER ST",
"address_2": "SUITE 111",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983686728",
"telephone_number": "360-379-4767",
"fax_number": "360-385-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 WATER ST",
"address_2": "SUITE 111",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983686728",
"telephone_number": "360-379-4767",
"fax_number": "360-385-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRORY",
"first_name": "MELANIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00026907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "MD00026907",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.