Family Medicine of Port Angeles PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE OF PORT ANGELES PLLC

Practice address

920 Caroline St
Port Angeles, WA 98362-3910

Phone

(360) 452-7891

Fax

(360) 782-7891

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Carlene Ringius

Title

Administrator

Phone

(360) 452-7891

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1356536817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983625904",
            "telephone_number": "360-452-7891",
            "fax_number": "360-452-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CAROLINE ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623910",
            "telephone_number": "360-452-7891",
            "fax_number": "360-782-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF PORT ANGELES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "RINGIUS",
        "authorized_official_first_name": "CARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-452-7891"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7082563",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7112188",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Everhart
• Victoria M Everrett, RD LD CNSC CDE
• Jon Michiel Eyre, DDS
• Michaela Fallon
• Family Medicine of Port Angeles PLLC
• Family Planning of Clallam County
• Erik C Farley, PA-C
• Samuel Farnum, CMA
• Leah Kirsten Fegan, M.D.
• Sophia Felder, MSN, FNP-C, IBCLC

• Family Medicine Physician in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.