Organization Active NPI

J Stephen Bell DO PS

Doing business as Johnny S. Bell DO PS

  • General Practice Physician
  • Ilwaco, WA
National Provider Identifier
1063730430
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OP00001380 Issued in WA
Legal business name
J STEPHEN BELL DO PS
Doing business as
Johnny S. Bell DO PS
Practice address
117 Spruce St
Ilwaco, WA 98624-0000
Phone
(360) 642-2662
Fax
(360) 642-2663
NPI assigned
May 11, 2010
Last updated
Aug 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Carol S Ham
Title
Office Manager
Phone
(360) 642-2662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OP00001380 WA Primary

Addresses

Primary practice location

117 Spruce St
Ilwaco, WA 98624-0000

Mailing address

PO Box 299
Ilwaco, WA 98624-0299
Phone (360) 642-2662

Other names 1

  • Johnny S. Bell DO PS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1063730430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "986240299",
            "telephone_number": "360-642-2662",
            "fax_number": "360-642-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SPRUCE ST",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "986240000",
            "telephone_number": "360-642-2662",
            "fax_number": "360-642-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J STEPHEN BELL DO PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-642-2662"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "OP00001380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnny S. Bell DO PS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ilwaco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.