Active NPI
William B Kirshner, MD
- Family Medicine Physician
- Issaquah, WA
National Provider Identifier
1376567511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00018677
- Practice address
- 100 NE Gilman Blvd
Issaquah, WA 98027-2925 - Phone
- (425) 557-8000
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00018677 | WA | Primary |
Addresses
Primary practice location
100 NE Gilman Blvd
Issaquah, WA 98027-2925
Mailing address
1100 9TH Ave
Ms:M4 -PA
Seattle, WA 98101-2756
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0039581 | Other | WA | LABOR & INDUSTRY |
| 8328403 | Medicaid | WA | |
| MD8677 | Other | WA | ALASKA MEDICAID |
| US0899581 | Other | WA | AETNA/USHC PCP |
| KI4441 | Other | WA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- william.kirshner@direct.vmmc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1376567511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"address_2": "MS:M4 -PA",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NE GILMAN BLVD",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272925",
"telephone_number": "425-557-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSHNER",
"first_name": "WILLIAM",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00018677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "0039581",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8328403",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALASKA MEDICAID",
"identifier": "MD8677",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC PCP",
"identifier": "US0899581",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "KI4441",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.