NPIMap

Organization Active NPI

Pacific Rim Orthopaedic Surgeons

  • Orthopaedic Surgery Physician
  • Bellingham, WA
National Provider Identifier
1417977208
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD0022602 Issued in WA
Legal business name
PACIFIC RIM ORTHOPAEDIC SURGEONS
Practice address
2979 Squalicum Pkwy
Suite #203
Bellingham, WA 98225-1811
Phone
(360) 733-7670
Fax
(360) 647-1901
NPI assigned
Jul 21, 2006
Last updated
May 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Michael Kevin Gannon, M.D.NPI 1790704856
Title
Provider
Phone
(360) 733-7670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD0022602 WA Primary

Addresses

Primary practice location

2979 Squalicum Pkwy
Suite #203
Bellingham, WA 98225-1811

Mailing address

2979 Squalicum Pkwy
Suite #203
Bellingham, WA 98225-1811
Phone (360) 733-7670

Other identifiers 1

IdentifierTypeStateIssuer
602120520OtherWAUBI

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: atabayoyon@direct.pacificrimorthopedic.com
  • Direct secure messaging: cvhofwegen@direct.pacificrimorthopedic.com
  • Direct secure messaging: fcoe@direct.pacificrimorthopedic.com
  • Direct secure messaging: jdahl@direct.pacificrimorthopedic.com
  • Direct secure messaging: mgannon@direct.pacificrimorthopedic.com
  • Direct secure messaging: rvoigt@direct.pacificrimorthopedic.com

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1417977208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 SQUALICUM PKWY",
            "address_2": "SUITE #203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251811",
            "telephone_number": "360-733-7670",
            "fax_number": "360-647-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 SQUALICUM PKWY",
            "address_2": "SUITE #203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251811",
            "telephone_number": "360-733-7670",
            "fax_number": "360-647-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RIM ORTHOPAEDIC SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "GANNON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "360-733-7670",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD0022602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI",
            "identifier": "602120520",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.