Active NPI
Jay Ham, M.D.
- Anesthesiology Physician
- Anacortes, WA
National Provider Identifier
1447283866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00022934
- Practice address
- 1211 24TH St
Anacortes, WA 98221-2557 - Phone
- (360) 293-3181
- NPI assigned
- Jul 9, 2006
- Last updated
- Jul 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00022934 | WA | Primary |
Addresses
Primary practice location
1211 24TH St
Anacortes, WA 98221-2557
Mailing address
PO Box 189
Coupeville, WA 98239-0189
Phone (360) 678-4071
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090258 | Other | WA | DEPT LABOR INDUSTRIES |
| 050004992 | Other | WA | RAILROAD MEDICARE |
| 1002740 | Medicaid | WA | |
| 003319001 | Other | WA | GROUP HEALTH |
| 5085HA | Other | WA | REGENCE BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00022934 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skagit Hospice Services, LLC | Past | Accepting new patients | |
| Nicholas S Muff MD PS | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Sedro Woolley, WA
- NPI 1245325950
-
dba Palliative Care of the Northwest
- Hospice and Palliative Medicine (Family Medicine) Physician
- Mount Vernon, WA
- NPI 1144690876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1447283866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982390189",
"telephone_number": "360-678-4071",
"fax_number": "360-678-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 24TH ST",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982212557",
"telephone_number": "360-293-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAM",
"first_name": "JAY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00022934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT LABOR INDUSTRIES",
"identifier": "0090258",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050004992",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002740",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "003319001",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "5085HA",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anacortes, WA
- Erik E Haakenson, MS, LMHC, CMHS, NCC
- Kandace Cheri' Habenicht, PHYSICAL THERAPIST
- Dorothy Marie Hale, APRN, PMHNP-BC
- Kayla Bethany Hall I
- Patricia Ann Hall, RN
- Jeffrey Scott Hambleton, MD
- Heather Hamilton, PHD, LMHC
- Amanda Lynn Hamlin, ARNP
- Judy Lynn Hammer, LMP LICENSED MASSAGE
- Paul Stephen Hammer, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.