NPIMap

Organization Active NPI

Orcas Family Health Center

  • Family Medicine Physician
  • Eastsound, WA
National Provider Identifier
1245214683
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WA17180 Issued in WA
Legal business name
ORCAS FAMILY HEALTH CENTER
Practice address
1286 Mount Baker Rd
Ste B-102
Eastsound, WA 98245-8931
Phone
(360) 376-7778
Fax
(360) 376-7706
NPI assigned
Nov 30, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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
David C Shinstrom, MDNPI 1902833007
Title
Medical Director
Phone
(360) 376-7778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X WA17180 WA Primary
Family Medicine Physician 207Q00000X MD00037547 WA

Addresses

Primary practice location

1286 Mount Baker Rd
Ste B-102
Eastsound, WA 98245-8931

Mailing address

1286 Mount Baker Rd
Ste B-102
Eastsound, WA 98245-8931
Phone (360) 376-7778

Other identifiers 2

IdentifierTypeStateIssuer
8156101MedicaidWA
8271389MedicaidWA

Other names 1

  • Orcas Family Physicians Former legal business name

National Provider Directory

National Provider Directory

Locations

1286 Mount Baker Rd
Ste B102
Eastsound, WA 98245
Phone (360) 376-7778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245214683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 MOUNT BAKER RD",
            "address_2": "STE B-102",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982458931",
            "telephone_number": "360-376-7778",
            "fax_number": "360-376-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 MOUNT BAKER RD",
            "address_2": "STE B-102",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982458931",
            "telephone_number": "360-376-7778",
            "fax_number": "360-376-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCAS FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHINSTROM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-376-7778",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "WA17180",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00037547",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8156101",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8271389",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orcas Family Physicians",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eastsound, 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.