Organization Active NPI

Kitsap Chest Consultants, PLLC

Doing business as Kitsap Pulmonary and Sleep Medicine, PLLC

  • Specialist
  • Poulsbo, WA
National Provider Identifier
1679886485
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
602542295 Issued in WA
Legal business name
KITSAP CHEST CONSULTANTS, PLLC
Doing business as
Kitsap Pulmonary and Sleep Medicine, PLLC
Practice address
19917 7TH Ave NE
Suite 210
Poulsbo, WA 98370-6555
Phone
(360) 479-8057
Fax
(360) 377-0318
NPI assigned
Jul 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Dr. Roger Eagan, MD
Title
Partner
Phone
(360) 479-8057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 602542295 WA Primary

Addresses

Primary practice location

19917 7TH Ave NE
Suite 210
Poulsbo, WA 98370-6555

Mailing address

1225 Campbell Way
Suite 201
Bremerton, WA 98310-3351
Phone (360) 479-8057

Other names 1

  • Kitsap Pulmonary and Sleep Medicine, PLLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1679886485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CAMPBELL WAY",
            "address_2": "SUITE 201",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103351",
            "telephone_number": "360-479-8057",
            "fax_number": "360-377-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19917 7TH AVE NE",
            "address_2": "SUITE 210",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706555",
            "telephone_number": "360-479-8057",
            "fax_number": "360-377-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP CHEST CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "EAGAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "360-479-8057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "602542295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kitsap Pulmonary and Sleep Medicine, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.