NPIMap

Organization Active NPI

Andris Radvany MD Inc

  • Internal Medicine Physician
  • Bellingham, WA
National Provider Identifier
1699727628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A74296 Issued in CA
Legal business name
ANDRIS RADVANY MD INC
Practice address
470 Birchwood Ave
Suite C
Bellingham, WA 98225-1781
Phone
(360) 756-6980
Fax
(866) 271-5690
NPI assigned
May 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andris E Radvany, M.D.NPI 1245233576
Title
Physician Owner
Phone
(360) 756-6980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A74296 CA Primary

Addresses

Primary practice location

470 Birchwood Ave
Suite C
Bellingham, WA 98225-1781

Mailing address

1225 E Sunset Dr Ste 145
PMB # 856
Bellingham, WA 98226-3554
Phone (360) 756-6980

National Provider Directory

National Provider Directory

Locations

900 Whispering Pines Ln
Ste 210
Grass Valley, CA 95945
Phone (530) 271-0322

Practitioners & affiliated clinicians

Practitioners 11

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699727628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E SUNSET DR STE 145",
            "address_2": "PMB # 856",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263554",
            "telephone_number": "360-756-6980",
            "fax_number": "866-271-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 BIRCHWOOD AVE",
            "address_2": "SUITE C",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251781",
            "telephone_number": "360-756-6980",
            "fax_number": "866-271-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRIS RADVANY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADVANY",
        "authorized_official_first_name": "ANDRIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "360-756-6980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A74296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.