NPIMap

Organization Active NPI

Center for Bone & Joint Surgery LTD

  • Orthopaedic Surgery Physician
  • Port Angeles, WA
National Provider Identifier
1619921863
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CENTER FOR BONE & JOINT SURGERY LTD
Practice address
832 Georgiana St
Port Angeles, WA 98362-3512
Phone
(360) 457-7003
Fax
(360) 457-7023
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Ann M Rosecrants
Title
Direct Owner
Phone
(360) 417-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

832 Georgiana St
Port Angeles, WA 98362-3512

Mailing address

832 Georgiana St
Port Angeles, WA 98362-3512
Phone (360) 457-7003

Other identifiers 3

IdentifierTypeStateIssuer
7105786MedicaidWA
134309OtherWAWORKERS COMP
CG1904OtherWARAILROAD MEDICARE

Other names 1

  • The Center for Bone & Joint Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

832 Georgiana St
Port Angeles, WA 98362
Phone (360) 457-0804

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1619921863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 GEORGIANA ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623512",
            "telephone_number": "360-457-7003",
            "fax_number": "360-457-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 GEORGIANA ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623512",
            "telephone_number": "360-457-7003",
            "fax_number": "360-457-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BONE & JOINT SURGERY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "ROSECRANTS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "360-417-0200"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7105786",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "134309",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG1904",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Bone & Joint Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.