Individual provider Active NPI

Stuart M Austin, PA-C

  • Medical Physician Assistant
  • Everett, WA
National Provider Identifier
1407997588
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10003609 Issued in WA
Practice address
11001 31St PL W
Suite 1
Everett, WA 98204-1323
Phone
(425) 267-0299
Fax
(425) 513-1446
NPI assigned
Feb 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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
Medical Physician Assistant 363AM0700X PA10003609 WA Primary

Addresses

Primary practice location

11001 31St PL W
Suite 1
Everett, WA 98204-1323

Mailing address

11001 31St PL W
Suite 1
Everett, WA 98204-1323
Phone (425) 267-0299

Other identifiers 1

IdentifierTypeStateIssuer
165386OtherWALABOR AND INDUSTRIES

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10003609WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Washington, P.S. CurrentSince Nov 5, 2018 Accepting new patients
Healthforce Partners, Inc Past Accepting new patients
Healthforce Occupational Medicine Past Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

1925 140th Ave NE
Bellevue, WA 98005
Phone (425) 865-8060

3101 111th St SW
Unit Tu
Everett, WA 98204
Phone (425) 267-0299

9222 N Newport Hwy
Ste 1
Spokane, WA 99218
Phone (509) 467-4545

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407997588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 31ST PL W",
            "address_2": "SUITE 1",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982041323",
            "telephone_number": "425-267-0299",
            "fax_number": "425-513-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 31ST PL W",
            "address_2": "SUITE 1",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982041323",
            "telephone_number": "425-267-0299",
            "fax_number": "425-513-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "STUART",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10003609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "165386",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.