Clallam Anesthesiologist Associated PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD00033499 Issued in WA

Legal business name

CLALLAM ANESTHESIOLOGIST ASSOCIATED PLLC

Practice address

Olympic Medical Center
939 Caroline Street
Port Angeles, WA 98362

Phone

(360) 417-7450

NPI assigned

Jun 15, 2006

Last updated

Dec 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Barton, MDNPI 1528062031

Title

Sole Proprieter

Phone

(360) 683-4877

Specialties & licenses 1

Addresses

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.

• Matthew Barton, MD

  • Anesthesiology Physician
  • Port Angeles, WA
  • NPI 1528062031
  Authorized official Same address or phone

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1255375945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97115",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984970115",
            "telephone_number": "253-588-7911",
            "fax_number": "253-974-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OLYMPIC MEDICAL CENTER",
            "address_2": "939 CAROLINE STREET",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "98362",
            "telephone_number": "360-417-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLALLAM ANESTHESIOLOGIST ASSOCIATED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "360-683-4877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00033499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Churchill
• Stephen Churchley, MD
• Brian Cimala, RN
• Kari Ann Cimcotto
• City of Port Angeles
• Clallam County Clinical Services
• Clallam County Fire Prot Dist 4
• Clallam County Fire Protection District No 2
• Clallam County Health & Human Services
• Clallam County Jail Medical

• Anesthesiology Physician in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.