NPIMap

Organization Active NPI

Public Hospital District No 2 Skagit County Washington

Doing business as Island Primary Care - Orcas

  • Family Medicine Physician
  • Eastsound, WA
National Provider Identifier
1659968402
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON
Doing business as
Island Primary Care - Orcas
Practice address
7 Deye LN
Eastsound, WA 98245-8578
Phone
(360) 376-2561
Fax
(360) 376-5183
NPI assigned
Dec 28, 2020
Last updated
Mar 30, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Elise J Cutter
Title
Chief Operating Officer
Phone
(360) 299-1316

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

7 Deye LN
Eastsound, WA 98245-8578

Mailing address

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-1300

Other names 1

  • Island Primary Care - Orcas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031121000440 WA Part B Supplier - Clinic/Group Practice 1153225198 Receives reassigned benefits from 177 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anacortes, WA; Eastsound, WA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Orcas Medical Ctr

Locations

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

Practitioners & affiliated clinicians

Practitioners 8

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": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1659968402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 24TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212562",
            "telephone_number": "360-299-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DEYE LN",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982458578",
            "telephone_number": "360-376-2561",
            "fax_number": "360-376-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON",
        "enumeration_date": "2020-12-28",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "CUTTER",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "360-299-1316"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Primary Care - Orcas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Island Primary Care - Orcas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastsound, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.