Active NPI
Bainbridge Anesthesia Associates PS
- Anesthesiology Physician
- Silverdale, WA
National Provider Identifier
1124168778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00023941
- 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
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217857 | Other | WA | L&I PROVIDER # |
| 8864660 | Other | MEDICARE PTAN | |
| 1123843 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER #",
"identifier": "217857",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8864660",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1123843",
"state": "WA"
}
],
"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.