Bellingham Urology Specialists PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

602558844 Issued in WA

Legal business name

BELLINGHAM UROLOGY SPECIALISTS PLLC

Practice address

340 Birchwood Ave
Bellingham, WA 98225-1782

Phone

(360) 671-9197

Fax

(360) 676-7730

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Soren N Carlsen, MD

Title

Owner Doctor

Phone

(360) 671-9197

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelli Kristine Cole-Vadjic, PA-C

  • Physician Assistant
  • Bellingham, WA
  • NPI 1891755989
  NPD (past)
• Daniel Hunter Roeter, M.D.

  • Urology Physician
  • Bellingham, WA
  • NPI 1386955870
  NPD (past)
• Denise Marie Taylor, PA-C

  • Physician Assistant
  • Bellingham, WA
  • NPI 1437394939
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1417038019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BIRCHWOOD AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251782",
            "telephone_number": "360-671-9197",
            "fax_number": "360-676-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BIRCHWOOD AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251782",
            "telephone_number": "360-671-9197",
            "fax_number": "360-676-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM UROLOGY SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "CARLSEN",
        "authorized_official_first_name": "SOREN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "360-671-9197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WA",
            "license": "602558844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7138879",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bellingham Sports and Spine Physical Therapy
• Bellingham Technical College
• Bellingham Technical College
• Bellingham Urology Group PLLC
• Bellingham Urology Group, PLLC
• Bellingham Urology Specialists PLLC
• Bellingham Vision Clinic Inc
• Bellingham Wellness Center
• Bellingham Women'S Health, PLLC
• Spencer Richard Belsvik, LMT

• Urology Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Urology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.