Individual provider Active NPI

Edward Hartzler, MD

  • Family Medicine Physician
  • Burien, WA
National Provider Identifier
1609809748
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00013292 Issued in WA
Practice address
16233 Sylvester Rd SW
Suite 210
Burien, WA 98166-3045
Phone
(206) 244-2422
Fax
(206) 304-5034
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00013292 WA Primary

Addresses

Primary practice location

16233 Sylvester Rd SW
Suite 210
Burien, WA 98166-3045

Mailing address

PO Box 34935
Dept # 435
Seattle, WA 98124-1935
Phone (206) 439-4880

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

OrganizationSpecialtyStatusNew patients
Highline Medical Group Past Accepting new patients
Seahurst Pediatrics PLLC Past Accepting new patients
Highline Medical Group Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: edward.hartzler.1@9106.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609809748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34935",
            "address_2": "DEPT # 435",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241935",
            "telephone_number": "206-439-4880",
            "fax_number": "206-431-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW",
            "address_2": "SUITE 210",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663045",
            "telephone_number": "206-244-2422",
            "fax_number": "206-304-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZLER",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00013292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, 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.

Verify at the official NPI Registry.