Active NPI
Marion Anna Bartl, MD
- General Practice Physician
- Port Townsend, WA
National Provider Identifier
1609896992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD00015874
- Practice address
- 1136 Water St
Ste 110
Port Townsend, WA 98368 - Phone
- (360) 385-7978
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD00015874 | WA | Primary |
Addresses
Primary practice location
1136 Water St
Ste 110
Port Townsend, WA 98368
Mailing address
1136 Water St
Ste 110
Port Townsend, WA 98368
Phone (360) 385-7978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1055276 | 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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00015874 | WA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609896992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 WATER ST",
"address_2": "STE 110",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "98368",
"telephone_number": "360-385-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 WATER ST",
"address_2": "STE 110",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "98368",
"telephone_number": "360-385-7978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTL",
"first_name": "MARION",
"middle_name": "ANNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "MD00015874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1055276",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Townsend, 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.