NPIMap

Organization Active NPI

Bellingham Ear Nose Throat and Facial Surgery Inc

  • Ambulatory Surgical Clinic/Center
  • Bellingham, WA
National Provider Identifier
1144370784
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
00010482 Issued in WA
Legal business name
BELLINGHAM EAR NOSE THROAT AND FACIAL SURGERY INC
Practice address
2940 Squalicum Pkwy Ste 203
Bellingham, WA 98225-1892
Phone
(360) 733-0640
Fax
(360) 733-1034
NPI assigned
Jan 12, 2007
Organization subpart
Yes
Parent organization
BELLINGHAM EAR NOSE THROAT AND FACIAL SURGERY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Joost L Knops, MD
Title
Cfo
Phone
(360) 733-0640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 00010482 WA Primary

Addresses

Primary practice location

2940 Squalicum Pkwy Ste 203
Bellingham, WA 98225-1892

Mailing address

2940 Squalicum Pkwy Ste 203
Bellingham, WA 98225-1892
Phone (360) 733-0640

Other identifiers 1

IdentifierTypeStateIssuer
GAB03426OtherWAPTAN

Other names 1

  • Whatcom Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302001193 WA Part B Supplier - Ambulatory Surgical Center 1850288069 Practice locations: Bellingham, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Bellingham Ear Nose Throat and Facial Surgery IncCCN 50C0001148
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2033729Whatcom Surgery Center2940 Squalicum Pkwy Ste 203, Bellingham, WA 98225Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Bellingham Ear Nose T2 organizations share this tax ID, including this one
Part of
Bellingham Ear Nose T

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1144370784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 SQUALICUM PKWY STE 203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251892",
            "telephone_number": "360-733-0640",
            "fax_number": "360-733-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 SQUALICUM PKWY STE 203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251892",
            "telephone_number": "360-733-0640",
            "fax_number": "360-733-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM EAR NOSE THROAT AND FACIAL SURGERY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLINGHAM EAR NOSE THROAT AND FACIAL SURGERY INC.",
        "enumeration_date": "2007-01-12",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "KNOPS",
        "authorized_official_first_name": "JOOST",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "360-733-0640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "00010482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "GAB03426",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whatcom Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.