Individual provider Active NPI

Craig Frank Whitfield, PA-C

  • Medical Physician Assistant
  • Mountlake Terrace, WA
National Provider Identifier
1689714693
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10004555 Issued in WA
Practice address
6808 220TH St SW
# 201
Mountlake Terrace, WA 98043-2187
Phone
(425) 640-6976
Fax
(425) 640-6977
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10004555 WA Primary

Addresses

Primary practice location

6808 220TH St SW
# 201
Mountlake Terrace, WA 98043-2187

Mailing address

805 Madison St
Suite 901
Seattle, WA 98104-1172
Phone (206) 264-8100

Other identifiers 1

IdentifierTypeStateIssuer
P00324064OtherWARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000441 WA Practitioner - Physician Assistant 4082507090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Pain AllianceGroup PAC ID 0941565162, 43 clinicians

Practice addresses (Care Compare)

11306 Bridgeport Way SW
Lakewood, WA 98499-3037
Phone (253) 983-9390

4029 Northwest Ave
Bellingham, WA 98226-9077

4404 80TH St NE
Marysville, WA 98270-3427
Phone (360) 839-6778

6808 220TH St SW
Suite 201
Mountlake Terrace, WA 98043-2187
Phone (360) 839-6778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S CurrentSince Aug 1, 2016 Accepting new patients
Sound Pain Alliance CurrentSince Sep 1, 2022 Accepting new patients
Sound Pain Alliance CurrentSince Sep 1, 2022 Accepting new patients
Sound Pain Alliance Current Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Aug 1, 2016 Accepting new patients
Sound Pain Alliance Past Accepting new patients
Lake Washington Private Medicine Inc Past Accepting new patients

Locations

4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685

7320 216th St SW
Ste 140
Edmonds, WA 98026
Phone (425) 673-3750

7320 216th St SW
Ste 320
Edmonds, WA 98026
Phone (425) 673-3900

4404 80th St NE
Marysville, WA 98270
Phone (360) 659-1231

6808 220th St SW
Ste 201
Mountlake Terrace, WA 98043
Phone (360) 839-6778

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

629 Avenue D
Ste 1
Snohomish, WA 98290
Phone (360) 568-1554

Interoperability endpoints

  • Direct secure messaging: craig.whitfield.p24@direct.proliance.nextgenshare.com
  • Direct secure messaging: craig.whitfield.p25@direct.proliance.nextgenshare.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1689714693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MADISON ST",
            "address_2": "SUITE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041172",
            "telephone_number": "206-264-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 220TH ST SW",
            "address_2": "# 201",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432187",
            "telephone_number": "425-640-6976",
            "fax_number": "425-640-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "CRAIG",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00324064",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

Verify at the official NPI Registry.