Stephen H Kriebel, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13422 Issued in WA

Practice address

461 G St
Forks, WA 98331-9025

Phone

(360) 374-6224

Fax

(360) 374-6039

NPI assigned

May 27, 2005

Last updated

Jul 17, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Medical Center of Forks, Inc, PS

  dba Family Medical Center

  • Family Medicine Physician
  • Forks, WA
  • NPI 1245375518
  NPD (past) Authorized official
• Clallam County Public Hospital District No 1

  dba Forks Family Medical Clinic

  • Rural Health Clinic/Center
  • Forks, WA
  • NPI 1285290338

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1659374114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983310455",
            "telephone_number": "360-374-6224",
            "fax_number": "360-374-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 G ST",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983319025",
            "telephone_number": "360-374-6224",
            "fax_number": "360-374-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEBEL",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "13422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8156200",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "942707241",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7020654",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAURA NPI",
            "identifier": "1770509242",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7058829",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0048001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NPI",
            "identifier": "1245375518",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Shima MD PS (calawah medical clinic)
• John M Shima MD PS (Calawah Medical Clinic)
• Beatrice Katharine Kaufman, LMHC
• Susan Keilman, A.R.N.P., C.N.M.
• Jennifer Klahn
• Laura Ann Kripinski, ARNP
• Kyle Fukano DDS PLLC
• Maxfield Leif Larsen, RN
• Leta Maile Lawhead, MSW, LICSWA
• Christine Lee

• Family Medicine Physician in Forks, WA
• Providers in Forks, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.