Active NPI
Skagit Valley Medical Center Inc, PS Dba Pacific Northwest Cardiology
- General Practice Physician
- Mount Vernon, WA
National Provider Identifier
1356528913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SKAGIT VALLEY MEDICAL CENTER INC, PS DBA PACIFIC NORTHWEST CARDIOLOGY
- Practice address
- 307 S 13TH St
Mount Vernon, WA 98274-4100 - Phone
- (360) 336-1609
- Fax
- (360) 336-2088
- NPI assigned
- Jan 25, 2008
- 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
- John D Bond, MD
- Title
- President
- Phone
- (360) 428-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
307 S 13TH St
Mount Vernon, WA 98274-4100
Mailing address
307 S 13TH St
Mount Vernon, WA 98274-4100
Phone (360) 336-9757
Other names 1
- Pacific Northwest Cardiology
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202947200000",
"number": "1356528913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S 13TH ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744100",
"telephone_number": "360-336-9757",
"fax_number": "360-336-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S 13TH ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744100",
"telephone_number": "360-336-1609",
"fax_number": "360-336-2088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKAGIT VALLEY MEDICAL CENTER INC, PS DBA PACIFIC NORTHWEST CARDIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-25",
"last_updated": "2008-02-14",
"status": "A",
"authorized_official_last_name": "BOND",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-428-2500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Northwest Cardiology",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Mount Vernon, WA
- Skagit Valley Medical Center
- Skagit Valley Medical Center Inc PS
- Skagit Valley Medical Center Inc, PS
- Skagit Valley Medical Center Inc, PS
- Skagit Valley Medical Center Inc, PS
- Skagit Valley Medical Center, Inc PS
- Skagit Valley Medical Center, Inc PS
- Skagit Valley Medical Center, Inc PS
- Skagit Valley Medical Center, Inc PS
- Skagit Valley Medical Center, Inc, PS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.