Kitsap Internal Medicine Associates, Inc, P.S.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

600150638 Issued in WA

Legal business name

KITSAP INTERNAL MEDICINE ASSOCIATES, INC, P.S.

Practice address

2601 Cherry Ave
Suite 315
Bremerton, WA 98310-4203

Phone

(360) 377-8571

Fax

(360) 792-1608

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carol M Axtman

Title

Manager

Phone

(360) 377-8571

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles A Woodman, M.D.

  • Internal Medicine Physician
  • Bremerton, WA
  • NPI 1386631356
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1205805264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE",
            "address_2": "SUITE 315",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104203",
            "telephone_number": "360-377-8571",
            "fax_number": "360-792-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE",
            "address_2": "SUITE 315",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104203",
            "telephone_number": "360-377-8571",
            "fax_number": "360-792-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP INTERNAL MEDICINE ASSOCIATES, INC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "AXTMAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-377-8571",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "WA",
            "license": "600150638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kitsap County Drug Court Alumni Association
• Kitsap Eye Physicians PS
• Kitsap Eye Physicians PS
• Kitsap Forensic Examiners PLLC
• Kitsap Homes of Compassion
• Kitsap Massage Therapy (KMT)
• Kitsap Mental Health Services
• Kitsap Mental Health Services
• Kitsap Mental Health Services
• Kitsap Peninsula Ocd & Anxiety Services PLLC (Kitsap Peninsula OCD & Anxiety Services)

• Legal Medicine in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Legal Medicine in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.