Individual provider Active NPI

Matthew E. Zarnecki, M.D.

  • Obstetrics & Gynecology Physician
  • Silverdale, WA
National Provider Identifier
1407929086
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
00021496 Issued in WA
Practice address
1780 NW Myhre Rd
Suite 1250
Silverdale, WA 98383-8676
Phone
(360) 698-0404
Fax
(360) 698-5265
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 00021496 WA Primary

Addresses

Primary practice location

1780 NW Myhre Rd
Suite 1250
Silverdale, WA 98383-8676

Mailing address

1780 NW Myhre Rd
Suite 1250
Silverdale, WA 98383-8676
Phone (360) 698-0404

Other identifiers 2

IdentifierTypeStateIssuer
8507352MedicaidWA
1259001MedicaidWA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marie F Bailey, MSN, CS, Arnp, PLLC PastSince Dec 1, 2012 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1407929086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 NW MYHRE RD",
            "address_2": "SUITE 1250",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838676",
            "telephone_number": "360-698-0404",
            "fax_number": "360-698-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NW MYHRE RD",
            "address_2": "SUITE 1250",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838676",
            "telephone_number": "360-698-0404",
            "fax_number": "360-698-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARNECKI",
        "first_name": "MATTHEW",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "00021496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8507352",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1259001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.