Organization Active NPI

Judith Rayl M.D. PH.D. Inc., PS

  • Primary Care Clinic/Center
  • Bainbridge Island, WA
National Provider Identifier
1144435652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD00038216 Issued in WA
Legal business name
JUDITH RAYL M.D. PH.D. INC., PS
Practice address
115 Hall Brothers Loop NW
Suite 105
Bainbridge Island, WA 98110
Phone
(206) 780-0636
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Judith Rayl, M.D., PH.D.
Title
President
Phone
(206) 842-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD00038216 WA Primary

Addresses

Primary practice location

115 Hall Brothers Loop NW
Suite 105
Bainbridge Island, WA 98110

Mailing address

8193 NE Blakely CT W
Bainbridge Island, WA 98110-2210
Phone (206) 842-2101

National Provider Directory

National Provider Directory

Locations

115 Hall Brothers Loop
Unit 105
Bainbridge Island, WA 98110
Phone (206) 780-0636

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144435652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8193 NE BLAKELY CT W",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102210",
            "telephone_number": "206-842-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HALL BROTHERS LOOP NW",
            "address_2": "SUITE 105",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "98110",
            "telephone_number": "206-780-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH RAYL M.D. PH.D. INC., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAYL",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-842-2101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD00038216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.