NPIMap

Organization Active NPI

Strait Orthopedic Specialists, PS

  • Medical Physician Assistant
  • Sequim, WA
National Provider Identifier
1376716597
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10005046 Issued in WA
Legal business name
STRAIT ORTHOPEDIC SPECIALISTS, PS
Practice address
520 N 5TH Ave
Sequim, WA 98382-3079
Phone
(360) 417-8630
Fax
(360) 417-8635
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
STRAIT ORTHOPEDIC SPECIALISTS, PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Regina May McGovern, M.D.
Title
President
Phone
(360) 417-8630

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0114X MD00038097 WA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT00003652 WA
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PA10005046 WA Primary

Addresses

Primary practice location

520 N 5TH Ave
Sequim, WA 98382-3079

Mailing address

1112 Caroline St
Port Angeles, WA 98362-4204
Phone (360) 417-8630

Other identifiers 4

IdentifierTypeStateIssuer
147288OtherWADEPT. OF LABOR & INDUSTRI
CH7730OtherWARAILROAD MEDICARE
7105810MedicaidWA
7682677MedicaidWA

Other names 1

  • McGovern Therapy Specialists Other name

National Provider Directory

National Provider Directory
Tax ID family
Strait Orthopedic Specialists4 organizations share this tax ID, including this one
Part of
Strait Orthopedic Specialists

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1376716597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 CAROLINE ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624204",
            "telephone_number": "360-417-8630",
            "fax_number": "360-417-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823079",
            "telephone_number": "360-417-8630",
            "fax_number": "360-417-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIT ORTHOPEDIC SPECIALISTS, PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STRAIT ORTHOPEDIC SPECIALISTS, PS",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-417-8630",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "WA",
            "license": "MD00038097",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003652",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10005046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR & INDUSTRI",
            "identifier": "147288",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH7730",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7105810",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7682677",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McGovern Therapy Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.