NPIMap

Organization Active NPI

Bellingham Internal Medicine Associates, PC

  • Internal Medicine Physician
  • Bellingham, WA
National Provider Identifier
1639108905
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00046372 Issued in WA
Legal business name
BELLINGHAM INTERNAL MEDICINE ASSOCIATES, PC
Practice address
2980 Squalicum Pkwy
Suite 102
Bellingham, WA 98225-1880
Phone
(360) 752-2956
NPI assigned
Jun 30, 2006
Last updated
Apr 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Dr. Mitchell Kahn, M.D.
Title
President
Phone
(646) 584-9406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00046372 WA Primary

Addresses

Primary practice location

2980 Squalicum Pkwy
Suite 102
Bellingham, WA 98225-1880

Mailing address

2980 Squalicum Pkwy
Suite 102
Bellingham, WA 98225-1880
Phone (360) 752-2956

National Provider Directory

National Provider Directory

Locations

1050 Larrabee Ave
Ste 102
Bellingham, WA 98225
Phone (360) 671-8000

2980 Squalicum Pkwy
Ste 102
Bellingham, WA 98225
Phone (360) 752-2956

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1639108905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 SQUALICUM PKWY",
            "address_2": "SUITE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251880",
            "telephone_number": "360-752-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 SQUALICUM PKWY",
            "address_2": "SUITE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251880",
            "telephone_number": "360-752-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM INTERNAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-584-9406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00046372",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 27, 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.