Active NPI
Stephen J Bartok, MD
- Specialist
- Mount Vernon, WA
National Provider Identifier
1487647020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00031365
- Practice address
- 1320 E Division St
Mount Vernon, WA 98274-4133 - Phone
- (360) 424-6161
- Fax
- (360) 848-1167
- NPI assigned
- Aug 30, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD00031365 | WA | Primary |
Addresses
Primary practice location
1320 E Division St
Mount Vernon, WA 98274-4133
Mailing address
581 Cook Rd
Camano Island, WA 98282-8577
Phone (360) 387-4915
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Idaho Imaging Center | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Kootenai Outpatient Imaging
- Diagnostic Radiology Physician
- Coeur d'Alene, ID
- NPI 1457353450
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487647020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "581 COOK RD",
"city": "CAMANO ISLAND",
"state": "WA",
"postal_code": "982828577",
"telephone_number": "360-387-4915",
"fax_number": "360-387-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 E DIVISION ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744133",
"telephone_number": "360-424-6161",
"fax_number": "360-848-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTOK",
"first_name": "STEPHEN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": "MD00031365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.