Active NPI
Martha and Mary Lutheran Services
- Geriatric Medicine (Internal Medicine) Physician
- Poulsbo, WA
National Provider Identifier
1285977983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- MARTHA AND MARY LUTHERAN SERVICES
- Practice address
- 19160 Front Street NE
Poulsbo, WA 98370-0127 - Phone
- (360) 779-7500
- NPI assigned
- Apr 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chad Michael Solvie
- Title
- Ceo
- Phone
- (360) 779-7500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
19160 Front Street NE
Poulsbo, WA 98370-0127
Mailing address
PO Box 127
Poulsbo, WA 98370-0127
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- In Home Supportive Care Agency
- Poulsbo, WA
- NPI 1033509252
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.
-
- General Practice Physician
- Poulsbo, WA
- NPI 1336379403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377648000000",
"number": "1285977983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "POULSBO",
"state": "WA",
"postal_code": "983700127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19160 FRONT STREET NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983700127",
"telephone_number": "360-779-7500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTHA AND MARY LUTHERAN SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-01",
"last_updated": "2013-08-28",
"status": "A",
"authorized_official_last_name": "SOLVIE",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "360-779-7500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.