Anacortes Health Care PS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ANACORTES HEALTH CARE PS

Practice address

1220 22ND St
Ste a
Anacortes, WA 98221-2582

Phone

(360) 588-9343

NPI assigned

Jun 16, 2006

Last updated

Apr 5, 2011By 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

Karen Boltom, M.D.

Title

Owner

Phone

(360) 588-9343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1568406601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 22ND ST",
            "address_2": "STE A",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212582",
            "telephone_number": "360-588-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 22ND ST",
            "address_2": "STE A",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212582",
            "telephone_number": "360-588-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANACORTES HEALTH CARE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "BOLTOM",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-588-9343",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.