Organization Active NPI

Larry W. Einspahr, M.D., P.S.

  • Child & Adolescent Psychiatry Physician
  • Kirkland, WA
National Provider Identifier
1073884102
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD 00016903 Issued in WA
Legal business name
LARRY W. EINSPAHR, M.D., P.S.
Doing business as
Larry W. Einspahr M.D.
Practice address
5400 Carillon PT BLDG 5000
4TH Floor
Kirkland, WA 98033-7357
Phone
(206) 999-2486
Fax
(360) 871-1942
NPI assigned
Jan 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Dr. Larry W Einspahr, M.D.
Title
President
Phone
(206) 999-2486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X MD 00016903 WA Primary

Addresses

Primary practice location

5400 Carillon PT BLDG 5000
4TH Floor
Kirkland, WA 98033-7357

Mailing address

5400 Carillon PT BLDG 5000
4TH Floor
Kirkland, WA 98033-7357
Phone (206) 999-2486

Other identifiers 2

IdentifierTypeStateIssuer
1346305257OtherWANATIONAL PROVIDER IDENTIFICATION NUMBER (NPI)
000101420OtherWAMEDICARE IDENTIFICATION NUMBER

Other names 1

  • Larry W. Einspahr M.D. 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": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1073884102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 CARILLON PT BLDG 5000",
            "address_2": "4TH FLOOR",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337357",
            "telephone_number": "206-999-2486",
            "fax_number": "360-871-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 CARILLON PT BLDG 5000",
            "address_2": "4TH FLOOR",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337357",
            "telephone_number": "206-999-2486",
            "fax_number": "360-871-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY W. EINSPAHR, M.D., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "EINSPAHR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-999-2486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD 00016903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION NUMBER (NPI)",
            "identifier": "1346305257",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "000101420",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larry W. Einspahr M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.