Active NPI
Aksel G Nordestgaard, M.D.
- Legal Medicine
- Gig Harbor, WA
National Provider Identifier
1083630602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- MD00028685
- Practice address
- 4700 Point Fosdick Dr NW
Suite 307
Gig Harbor, WA 98335-1706 - Phone
- (253) 857-8346
- Fax
- (253) 857-0259
- NPI assigned
- Jul 15, 2006
- Last updated
- Jan 25, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | MD00028685 | WA | Primary |
Addresses
Primary practice location
4700 Point Fosdick Dr NW
Suite 307
Gig Harbor, WA 98335-1706
Mailing address
4700 Point Fosdick Dr NW
Suite 307
Gig Harbor, WA 98335-1706
Phone (253) 857-8346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1067198 | Medicaid | WA |
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 |
|---|---|---|---|
| MD00028685 | WA | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Vascular, P.S. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Gig Harbor, WA
- NPI 1063729952
-
- Legal Medicine
- Gig Harbor, WA
- NPI 1548409337
-
dba Sound Vascular ASC
- Ambulatory Surgical Clinic/Center
- Federal Way, WA
- NPI 1679193205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1083630602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 POINT FOSDICK DR NW",
"address_2": "SUITE 307",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351706",
"telephone_number": "253-857-8346",
"fax_number": "253-857-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 POINT FOSDICK DR NW",
"address_2": "SUITE 307",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351706",
"telephone_number": "253-857-8346",
"fax_number": "253-857-0259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDESTGAARD",
"first_name": "AKSEL",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "WA",
"license": "MD00028685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1067198",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
- Niazi & Sharaki PLLC (Gig Harbor Endodontics)
- Nicholas Propp DDS, MSD, PLLC (Propper Smiles)
- Nikki Lillian Nino, NP
- Kyung Whan Noh, M.D.
- Danielle Nohelty, DPT
- Nordhavn Plastic Surgery, PLLC
- Denise Lynette Nordi, OTRL
- Summer Nicole Nordike
- Celeste Corinne Norelius, PT
- North Harbor Physical Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.