North Kitsap Ear Nose & Throat Clinic

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

WD00033350 Issued in WA

Legal business name

NORTH KITSAP EAR NOSE & THROAT CLINIC

Practice address

22180 Olympic College Way
Suite 202
Poulsbo, WA 98370-6664

Phone

(360) 697-1414

Fax

(360) 697-3939

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael Carl Jungkeit, M.D.NPI 1821170895

Title

Owner

Phone

(360) 697-1414

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael C Jungkeit, M.D.

  • Specialist
  • Poulsbo, WA
  • NPI 1821170895
  NPD (past) Authorized official
• Michael Sungjin Kong, M.D.

  • Otolaryngology Physician
  • Poulsbo, WA
  • NPI 1477524015
  NPD (past)
• James Rutledge, PA-C

  • Physician Assistant
  • Poulsbo, WA
  • NPI 1629009428
  NPD (past)

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1699025205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22180 OLYMPIC COLLEGE WAY",
            "address_2": "SUITE 202",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706664",
            "telephone_number": "360-697-1414",
            "fax_number": "360-697-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22180 OLYMPIC COLLEGE WAY",
            "address_2": "SUITE 202",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706664",
            "telephone_number": "360-697-1414",
            "fax_number": "360-697-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH KITSAP EAR NOSE & THROAT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "JUNGKEIT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-697-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "WD00033350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy Nguyen
• Kurt David Nielsen, PSYD
• Megan K Nightingale, AUD
• Andrew Glen Noble, O.D.
• North Kitsap Ambulatory Surgery Center, LLC
• North Kitsap Family Practice and Urgent Care P.S.
• North Kitsap Pediatrics P.S.
• North Kitsap School District
• North Peninsula Chiropractic
• North Peninsula Physical Therapy, PLLC

• Otolaryngology Physician in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Otolaryngology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.