Doctors Clinic a Professional Corporation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DOCTORS CLINIC A PROFESSIONAL CORPORATION

Practice address

2200 NW Myhre Rd
Silverdale, WA 98383-7681

Phone

(360) 830-1100

Fax

(360) 830-1283

NPI assigned

Jan 11, 2007

Organization subpart

Yes

Parent organization

DOCTORS CLINIC A PROFESSIONAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Jay Burghart

Title

Ceo

Phone

(360) 782-3650

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• THE DOCTORS CLINIC AMBULATORY SURGERY CENTER Doing business as

Part of

Doctors Clinic a Prof Corp

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Harding Bartow II, D.O.

  • Diagnostic Radiology Physician
  • Olympia, WA
  • NPI 1629000484
  NPD (past)
• Bernard Greenfeld, M.D.

  • Emergency Medicine Physician
  • Bremerton, WA
  • NPI 1083666390
  NPD (past)
• Mark Blaine Potter, D.O.

  • Gastroenterology Physician
  • Tacoma, WA
  • NPI 1992776884
  NPD (past)
• Christine Romascan, D.O.

  • Family Medicine Physician
  • Bremerton, WA
  • NPI 1811956923
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1073663480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9621 RIDGETOP BLVD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838502",
            "telephone_number": "360-782-3650",
            "fax_number": "360-782-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NW MYHRE RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837681",
            "telephone_number": "360-830-1100",
            "fax_number": "360-830-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS CLINIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS CLINIC A PROFESSIONAL CORPORATION",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "BURGHART",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-782-3650"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7127996",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00255455",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "75420",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS COMP PROG",
            "identifier": "8937973",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DOCTORS CLINIC AMBULATORY SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Digestive Disease & Endoscopy Center, LLC
• Digestive Health Consultants, PLLC
• Richard Dinubilo, DC
• Dispatch Contract LLC
• Dmitri V Vasin MD
• Doctors Clinic PC
• Doctors Clinic PC
• Doctors Clinic PC
• Sarah Doemland, LMHC
• Dominic Frank Dofelmier, LMP

• Ambulatory Surgical Clinic/Center in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.