Port Townsend Orthopaedics & Sports Medicine, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00032312 Issued in WA

Legal business name

PORT TOWNSEND ORTHOPAEDICS & SPORTS MEDICINE, PLLC

Practice address

1274 7TH St Ste a
Port Townsend, WA 98368-2404

Phone

(360) 981-3812

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kerry Eileen Cox

Title

Office Manager

Phone

(360) 981-3812

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• James Clayton Blair III, PA-C

  • Physician Assistant
  • Port Townsend, WA
  • NPI 1447202585
  NPD (past)
• Mark Thomas Reis, MD

  • Orthopaedic Surgery Physician
  • Beaumont, CA
  • NPI 1982709432
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083748040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2658",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983702658",
            "telephone_number": "360-981-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 7TH ST STE A",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682404",
            "telephone_number": "360-981-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT TOWNSEND ORTHOPAEDICS & SPORTS MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-981-3812",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00032312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1107093",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LABOR & INDUSTRY",
            "identifier": "126333",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stella Aragon Poe, RDH
• Point Wilson Anesthesia, PC
• Janet Lynn Polley
• Port Townsend Chiropractic Center, PS
• Port Townsend Foot and Ankle Clinic PS
• Port Townsend Pharmacy Inc.
• Port Townsend Pharmacy Inc.
• Port Townsend Psychiatric Medicine
• Port Townsend School District
• Port Townsend Surgical Assoc

• Specialist in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.