Rex Thomas Averill, MD
Individual provider Active NPI Urology Physician · Port Angeles, WA
NPI 1124054697 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1124054697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- MD00019093 (WA)
- Practice address
- 907 Georgiana St
Port Angeles, WA 98362-3911 - Phone
- (360) 565-0999
- Fax
- (360) 565-9251
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clallam County Public Hospital District 2 | Past |
Accepting new patients | |
| Clallam County Public Hospital District 2 | Past | Accepting new patients |
Interoperability endpoints
- raverill280258@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD00019093 | WA | Yes |
Addresses
Primary practice location
907 Georgiana St
Port Angeles, WA 98362-3911
Mailing address
PO Box 850
Port Angeles, WA 98362-0146
Phone (360) 565-9237
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- Jeanneine Elizabeth Austin
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- Abigail Baca
- Susan Bach
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All providers in Port Angeles, WA · Urology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.