Mount Baker Rheumatology Center PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

16552 Issued in WA

Legal business name

MOUNT BAKER RHEUMATOLOGY CENTER PLLC

Practice address

500 Birchwood Ave
Suite C
Bellingham, WA 98225-1704

Phone

(360) 676-1610

Fax

(360) 676-2459

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Edward Wisner, M.D.

Title

Delegated Official

Phone

(360) 676-1610

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Margaret B. Kinsella, M.D.

  • Rheumatology Physician
  • Bellingham, WA
  • NPI 1962523084
  NPD (past)
• Naomi Rebecca Sullivan, M.D.

  • Rheumatology Physician
  • Bellingham, WA
  • NPI 1467436493
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1467649376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BIRCHWOOD AVE",
            "address_2": "SUITE C",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251704",
            "telephone_number": "360-676-1610",
            "fax_number": "360-676-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BIRCHWOOD AVE",
            "address_2": "SUITE C",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251704",
            "telephone_number": "360-676-1610",
            "fax_number": "360-676-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT BAKER RHEUMATOLOGY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "WISNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "360-676-1610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "16552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7138068",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Moudry, MSW, LICSW
• Kristina Kaye Moulaison, MS
• Lisa Annette Moulds, SUDPT
• Michelle Danette Moulds, OT
• Mount Baker Kidney Center, Incorporated
• Dorothy Fendley Mount, OTR/L
• Esther G Moynahan, LMP
• Olivia Mrdjan
• Ms Erlich MD, LLC
• Phumeza Msikinya, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.