Individual provider Active NPI

James R Fletcher, M.D.

  • Family Medicine Physician
  • Arlington, WA
National Provider Identifier
1407935091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00025541 Issued in WA
Practice address
875 Wesley St Ste 250
Arlington, WA 98223-1668
Phone
(360) 435-2233
Fax
(360) 435-3966
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00025541 WA Primary

Addresses

Primary practice location

875 Wesley St Ste 250
Arlington, WA 98223-1668

Mailing address

875 Wesley St Ste 250
Arlington, WA 98223-1668
Phone (360) 435-2233

Other identifiers 1

IdentifierTypeStateIssuer
1046234MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000070 WA Practitioner - Family Practice 6608899125 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00025541WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Aug 1, 2016 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince May 1, 2013 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine Current Accepting new patients
Hospitalist Medicine Physicians of California-San Bernardino, PC CurrentSince Jan 20, 2020 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince May 1, 2013 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients

Locations

875 Wesley St
Ste 250
Arlington, WA 98223
Phone (360) 435-2233

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

1728 W Marine View Dr
Ste 111
Everett, WA 98201

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

Interoperability endpoints

  • Direct secure messaging: jfletcher758662@direct.multicare.org

Organizations & group practices 7

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407935091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 WESLEY ST STE 250",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231668",
            "telephone_number": "360-435-2233",
            "fax_number": "360-435-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WESLEY ST STE 250",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231668",
            "telephone_number": "360-435-2233",
            "fax_number": "360-435-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00025541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1046234",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

Verify at the official NPI Registry.