Active NPI
John Steven Nuetzmann, DO
- Family Medicine Physician
- Bellingham, WA
National Provider Identifier
1477648269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP00001612
- Practice address
- 12 Bellwether Way
Suite 230
Bellingham, WA 98225-2959 - Phone
- (360) 738-7988
- Fax
- (360) 738-4072
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP00001612 | WA | Primary |
Addresses
Primary practice location
12 Bellwether Way
Suite 230
Bellingham, WA 98225-2959
Mailing address
PO Box 2536
Bellingham, WA 98227-2536
Phone (360) 738-7988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124320 | Medicaid | WA |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00001612 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific County Hospital District 2 | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Interoperability endpoints
- john.nuetzmann.1@30520.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Bellingham, WA
- NPI 1881883775
-
dba Willapa Harbor Hospital
- Critical Access Hospital
- South Bend, WA
- NPI 1295708683
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1477648269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2536",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982272536",
"telephone_number": "360-738-7988",
"fax_number": "360-738-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 BELLWETHER WAY",
"address_2": "SUITE 230",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252959",
"telephone_number": "360-738-7988",
"fax_number": "360-738-4072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUETZMANN",
"first_name": "JOHN",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP00001612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124320",
"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 Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.