Active NPI
Kitsap Chest Consultants, PLLC
Doing business as Kitsap Pulmonary and Sleep Medicine, PLLC
- Specialist
- Poulsbo, WA
National Provider Identifier
1679886485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 602542295
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider DirectoryNPI 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
- Jorgie Katherine Kinerk, RDH
- Eve King-Hill, MA, LMHC
- Jonathan King, E.A.M.P.
- Nobuhiko Kira, MD
- Marcy Kispert, LMP
- Kitsap Chiropractors PLLC (Ryan Chiropractic Clinic / Delong Chiropractic Clinic)
- Kitsap County Fire District 18
- Kitsap Dental
- Kitsap Eyecare Centers Inc PS (Poulsbo Eyecare Center)
- Kitsap Gastro and Liver Clinic, PLLC
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.