Bellingham Urology Specialists PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

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 25, 2006

Last updated

Nov 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Mark Pettit, MDNPI 1407937253

Title

Owner Doctor

Phone

(360) 671-9197

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• John Mark Pettit, MD

  • Urology Physician
  • Bellingham, WA
  • NPI 1407937253
  Authorized official Same address or phone

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1467537951",
    "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": "2006-10-25",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "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": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Erin Weust Beltramini, DO

• Ambulatory Surgical Clinic/Center in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.