NPIMap

Organization Active NPI

Bellingham Anesthesia Associates, P.S.

  • Anesthesiology Physician
  • Bellingham, WA
National Provider Identifier
1609893460
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BELLINGHAM ANESTHESIA ASSOCIATES, P.S.
Practice address
909 Squalicum Way Ste 102
Bellingham, WA 98225-2077
Phone
(360) 647-3377
Fax
(360) 752-3214
NPI assigned
Jul 17, 2006
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Jana M Foor, FACMPE
Title
Practice Administrator
Phone
(360) 647-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

909 Squalicum Way Ste 102
Bellingham, WA 98225-2077

Mailing address

909 Squalicum Way Ste 102
Bellingham, WA 98225-2077
Phone (360) 647-3377

Other identifiers 3

IdentifierTypeStateIssuer
7598600MedicaidWA
0039800OtherWAL&I
CC6084OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040105000120 WA Part B Supplier - Clinic/Group Practice 6406755990 Receives reassigned benefits from 66 practitioners
Practice locations: Bellingham, WA
O20230302002336 AK Part B Supplier - Clinic/Group Practice 6406755990 Receives reassigned benefits from 9 practitioners
Practice locations: Ketchikan, AK

National Provider Directory

National Provider Directory

Locations

2980 Squalicum Pkwy
Ste 105
Bellingham, WA 98225
Phone (360) 647-3377

2980 Squalicum Pkwy
Ste 304
Bellingham, WA 98225
Phone (360) 647-3377

909 Squalicum Way
Ste 102
Bellingham, WA 98225
Phone (360) 647-3377

Practitioners & affiliated clinicians

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1609893460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SQUALICUM WAY STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252077",
            "telephone_number": "360-647-3377",
            "fax_number": "360-752-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SQUALICUM WAY STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252077",
            "telephone_number": "360-647-3377",
            "fax_number": "360-752-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM ANESTHESIA ASSOCIATES, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "FOOR",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "360-647-3377",
        "authorized_official_credential": "FACMPE"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7598600",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0039800",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC6084",
            "state": null
        }
    ],
    "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 Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.