Active NPI
Gregory D. Sharp, D.O.
- Pain Medicine Physician
- Bellingham, WA
National Provider Identifier
1376604843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- OP00001611
- Practice address
- 4140 Meridian Street
Suite 200
Bellingham, WA 98226-5576 - Phone
- (360) 676-4325
- Fax
- (360) 676-5858
- NPI assigned
- Dec 12, 2006
- Last updated
- Dec 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | OP00001611 | WA | Primary |
Addresses
Primary practice location
4140 Meridian Street
Suite 200
Bellingham, WA 98226-5576
Mailing address
4120 Meridian Street
Suite 240
Bellingham, WA 98226
Phone (360) 676-4325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1117977 | Medicaid | WA | |
| 159802 | Other | WA | L & I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1376604843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 MERIDIAN STREET",
"address_2": "SUITE 240",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98226",
"telephone_number": "360-676-4325",
"fax_number": "360-676-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 MERIDIAN STREET",
"address_2": "SUITE 200",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982265576",
"telephone_number": "360-676-4325",
"fax_number": "360-676-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "GREGORY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "WA",
"license": "OP00001611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1117977",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "159802",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.