Mt. Baker Nephrology Associates Inc PS

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MT. BAKER NEPHROLOGY ASSOCIATES INC PS

Practice address

410 Birchwood Ave
Suite 200
Bellingham, WA 98225-1783

Phone

(360) 734-9233

NPI assigned

Jun 6, 2007

Organization subpart

No

Name

Renae Schultheis

Title

Office Manager

Phone

(360) 734-9233

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

• Mary E Lotfi, M.D.

  • Specialist
  • Bellingham, WA
  • NPI 1184682460
  Medicare reassignment Care Compare group NPD
• Ankur Mogla, MD

  • Nephrology Physician
  • Bellingham, WA
  • NPI 1023502325

  WA

  Medicare reassignment Care Compare group NPD
• Robert Stanislaw Niznik, MD

  • Nephrology Physician
  • Bellingham, WA
  • NPI 1922447069

  WA

  Medicare reassignment Care Compare group NPD
• Sebastian Varas Garcia, MD

  • Nephrology Physician
  • Bellingham, WA
  • NPI 1366757692

  WA

  Medicare reassignment Care Compare group NPD
• Larry E Moss, M.D.

  • Specialist
  • Bellingham, WA
  • NPI 1518962208
  Medicare reassignment NPD
• Joseph Jeffrey Bonn, PA

  • Medical Physician Assistant
  • Bellingham, WA
  • NPI 1285060897

  WA

  Medicare reassignment

Medicare fee-for-service enrollment

Enrolled in WA

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2015.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1104029339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BIRCHWOOD AVE",
            "address_2": "SUITE 200",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251783",
            "telephone_number": "360-734-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BIRCHWOOD AVE",
            "address_2": "SUITE 200",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251783",
            "telephone_number": "360-734-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. BAKER NEPHROLOGY ASSOCIATES INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "SCHULTHEIS",
        "authorized_official_first_name": "RENAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-734-9233"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION N",
            "identifier": "G001446800",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7021512",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1104029339",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mt Baker Imaging LLC
• Mt Baker Pain Clinic, P.S.
• Mt Baker Pain Clinic, P.S.
• Mt Baker Surgery Center, LLC
• Mt. Baker Imaging LLC
• Mt. Baker Vision Clinc
• Patrick Muchmore
• Natasha Muckova, M.D.
• Ashley Mueller, LPN
• David J Muirhead, RPH

• All providers in Bellingham, WA
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.