Individual provider Active NPI

Katherine Podorean, D.O

  • Anesthesiology Physician
  • Bellingham, WA
National Provider Identifier
1184945818
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OP60451484 Issued in WA
Practice address
2980 Squalicum Pkwy
Suite 304
Bellingham, WA 98225-1880
Phone
(360) 647-3377
Fax
(360) 752-3214
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OP60451484 WA Primary

Addresses

Primary practice location

2980 Squalicum Pkwy
Suite 304
Bellingham, WA 98225-1880

Mailing address

2980 Squalicum Pkwy
Suite 304
Bellingham, WA 98225-1880
Phone (360) 647-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140711000530 WA Practitioner - Anesthesiology 7416172291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellingham Anesthesia Associates PSGroup PAC ID 6406755990, 52 clinicians

Practice addresses (Care Compare)

909 Squalicum Way
Suite 102
Bellingham, WA 98225-2077
Phone (360) 647-3377

Hospital & facility affiliations

  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60451484WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Anesthesia Associates, P.S. Anesthesiology CurrentSince Aug 1, 2014 Accepting new patients
Providence Wa Anesthesia Services, P.C. Anesthesiology Past Accepting new patients

Locations

909 Squalicum Way
Ste 102
Bellingham, WA 98225
Phone (360) 647-3377

2980 Squalicum Pkwy
Ste 304
Bellingham, WA 98225
Phone (360) 647-3377

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1184945818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 SQUALICUM PKWY",
            "address_2": "SUITE 304",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251880",
            "telephone_number": "360-647-3377",
            "fax_number": "360-752-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 SQUALICUM PKWY",
            "address_2": "SUITE 304",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251880",
            "telephone_number": "360-647-3377",
            "fax_number": "360-752-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODOREAN",
        "first_name": "KATHERINE",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "OP60451484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.