Active NPI
Eugene E. Ocampo, M.D.
- Family Medicine Physician
- Everett, WA
National Provider Identifier
1619033263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00017640
- Practice address
- 2930 Maple St
Everett, WA 98201-3832 - Phone
- (425) 261-1500
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00017640 | WA | Primary |
Addresses
Primary practice location
2930 Maple St
Everett, WA 98201-3832
Mailing address
PO Box 34584
Seattle, WA 98124-1584
Phone (509) 241-7349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1561703 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1619033263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34584",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241584",
"telephone_number": "509-241-7349",
"fax_number": "509-241-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 MAPLE ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013832",
"telephone_number": "425-261-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCAMPO",
"first_name": "EUGENE",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00017640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1561703",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
- Tiazia Oates
- Charles Tufa Obieze, CDPT
- Kristin Marianne Obillo, M.D.
- Victor Emmanuel Obillo III
- Leah Rose Obryant, MSW, LICSW
- Occupational Health Centers of Washington, P.S.
- Occupational Health Centers of Washington, P.S.
- Occupational Health Centers of Washington, P.S.
- Occupational Health Centers of Washington, P.S.
- Norma Jean Ochoa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.