Active NPI
Donald Eugene Bauermeister, MD
- Anatomic Pathology & Clinical Pathology Physician
- Lynnwood, WA
National Provider Identifier
1144559808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD00010808
- Practice address
- 6825 216TH St SW
Lynnwood, WA 98036-7379 - Phone
- (425) 712-8020
- Fax
- (425) 712-8349
- NPI assigned
- Dec 9, 2009
- Last updated
- May 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD00010808 | WA | Primary |
Addresses
Primary practice location
6825 216TH St SW
Lynnwood, WA 98036-7379
Mailing address
125 16TH Avenue East
Cntrl Med Ctr South
Seattle, WA 98112-5211
Phone (509) 241-7195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00010808 | WA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puget Sound Institute of Pathology, PLLC | Past | Accepting new patients | |
| Puget Sound Institute of Pathology PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology Physician
- Seattle, WA
- NPI 1992787030
-
- Clinical Medical Laboratory
- Seattle, WA
- NPI 1720392806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1144559808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 16TH AVENUE EAST",
"address_2": "CNTRL MED CTR SOUTH",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981125211",
"telephone_number": "509-241-7195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6825 216TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980367379",
"telephone_number": "425-712-8020",
"fax_number": "425-712-8349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUERMEISTER",
"first_name": "DONALD",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-09",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "MD00010808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.