Individual provider Active NPI

Michael R Hejtmanek, MD

  • Anesthesiology Physician
  • Bellingham, WA
National Provider Identifier
1386788115
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00048259 Issued in WA
Practice address
2980 Squalicum Pkwy
Suite 304
Bellingham, WA 98225-1880
Phone
(360) 647-3377
Fax
(360) 752-3214
NPI assigned
Feb 16, 2007
Last updated
Jan 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD00048259 WA Primary

Addresses

Primary practice location

2980 Squalicum Pkwy
Suite 304
Bellingham, WA 98225-1880

Mailing address

2980 Squalicum Pkwy
Suite 304
Bellingham, WA 98225-1880
Phone (360) 647-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070906000220 WA Practitioner - Anesthesiology 1951494079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Washington School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00048259WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Anesthesiology CurrentSince Nov 11, 2024 Accepting new patients
Franciscan Medical Group CurrentSince Nov 11, 2024 Accepting new patients
South Sound Anesthesia Associates PLLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Providence Wa Anesthesia Services, P.C. Anesthesiology Past Accepting new patients

Locations

3901 Capital Mall Dr SW
Ste B
Olympia, WA 98502
Phone (360) 528-8571

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1386788115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 SQUALICUM PKWY",
            "address_2": "SUITE 304",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251880",
            "telephone_number": "360-647-3377",
            "fax_number": "360-752-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 SQUALICUM PKWY",
            "address_2": "SUITE 304",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251880",
            "telephone_number": "360-647-3377",
            "fax_number": "360-752-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEJTMANEK",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00048259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.