Active NPI
Philip J. Zylstra, MD
- Family Medicine Physician
- Arlington, WA
National Provider Identifier
1659335602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00027151
- Practice address
- 3823 - 172ND St NE
Cascade Skagit Health Alliance
Arlington, WA 98223 - Phone
- (360) 618-5000
- Fax
- (360) 659-9834
- NPI assigned
- Apr 14, 2006
- Last updated
- Oct 5, 2012
- 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 | MD00027151 | WA | Primary |
Addresses
Primary practice location
3823 - 172ND St NE
Cascade Skagit Health Alliance
Arlington, WA 98223
Mailing address
1400 E. Kincaid St.
Attn: Credentialing
Mount Vernon, WA 98274-4127
Phone (360) 428-2500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0080347 | Other | WA | LABOR & INDUSTRIES |
| R44189 | Other | REGENCE BLUE SHIELD | |
| 263664 | Other | WA | LABOR & INDUSTRIES |
| 8117715 | 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": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1659335602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E. KINCAID ST.",
"address_2": "ATTN: CREDENTIALING",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"telephone_number": "360-428-2500",
"fax_number": "360-428-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3823 - 172ND ST NE",
"address_2": "CASCADE SKAGIT HEALTH ALLIANCE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "98223",
"telephone_number": "360-618-5000",
"fax_number": "360-659-9834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZYLSTRA",
"first_name": "PHILIP",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00027151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0080347",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "R44189",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "263664",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8117715",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.