NPIMap

Organization Active NPI

Coastal Family Medicine Inc. P.S.

  • Family Medicine Physician
  • Ocean Shores, WA
National Provider Identifier
1639352883
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00042371 Issued in WA
Legal business name
COASTAL FAMILY MEDICINE INC. P.S.
Practice address
597 Point Brown Ave NW
Ocean Shores, WA 98569-9632
Phone
(360) 289-4151
Fax
(360) 289-4693
NPI assigned
Dec 11, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Tonia Holm
Title
Office Manager
Phone
(360) 289-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00042371 WA Primary

Addresses

Primary practice location

597 Point Brown Ave NW
Ocean Shores, WA 98569-9632

Mailing address

PO Box 1569
Ocean Shores, WA 98569-1569
Phone (360) 289-4151

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1639352883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1569",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "985691569",
            "telephone_number": "360-289-4151",
            "fax_number": "360-289-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 POINT BROWN AVE NW",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "985699632",
            "telephone_number": "360-289-4151",
            "fax_number": "360-289-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY MEDICINE INC. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-289-4151"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00042371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Shores, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.