NPIMap

Organization Active NPI

Bainbridge Anesthesia Associates PS

  • Anesthesiology Physician
  • Silverdale, WA
National Provider Identifier
1124168778
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00023941 Issued in WA
Legal business name
BAINBRIDGE ANESTHESIA ASSOCIATES PS
Practice address
9800 Levin Rd NW
Suite 102
Silverdale, WA 98383-7856
Phone
(360) 692-2728
Fax
(425) 609-0599
NPI assigned
Feb 6, 2007
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Dr. Blake Edward Reiter, M.D.NPI 1558369959
Title
President
Phone
(360) 271-2846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X MD00023941 WA Primary

Addresses

Primary practice location

9800 Levin Rd NW
Suite 102
Silverdale, WA 98383-7856

Mailing address

6003 23Rd Dr W Ste 100
Everett, WA 98203-1583
Phone (425) 407-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070424000431 WA Part B Supplier - Clinic/Group Practice 3072618875 Receives reassigned benefits from 9 practitioners
Practice locations: Bremerton, WA; Poulsbo, WA; Silverdale, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1124168778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 23RD DR W STE 100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031583",
            "telephone_number": "425-407-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 LEVIN RD NW",
            "address_2": "SUITE 102",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837856",
            "telephone_number": "360-692-2728",
            "fax_number": "425-609-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAINBRIDGE ANESTHESIA ASSOCIATES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "REITER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-271-2846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00023941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.