Individual provider Active NPI

Eric Deaye King, D.O

  • Interventional Cardiology Physician
  • Bellingham, WA
National Provider Identifier
1700083409
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OP60465060 Issued in WA
Practice address
2979 Squalicum Pkwy
Suite 101
Bellingham, WA 98225-1811
Phone
(360) 734-2700
Fax
(360) 734-8362
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X OP60465060 WA Primary

Addresses

Primary practice location

2979 Squalicum Pkwy
Suite 101
Bellingham, WA 98225-1811

Mailing address

1115 SE 164TH Ave
Dept 358
Vancouver, WA 98683-9324
Phone (360) 734-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140903001957 WA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9830317841 Reassigns benefits to 3 organizations
I20150204000703 AK Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9830317841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Kansas City University of Physicians and Surgeons, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians
Peacehealth Medical Group - Sedro WoolleyGroup PAC ID 1456584036, 55 clinicians

Practice addresses (Care Compare)

1017 20TH St
Anacortes, WA 98221-2505
Phone (360) 564-8695

1990 Hospital Dr
Sedro Woolley, WA 98284-9315

2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-9373

3015 Squalicum Pkwy
Bellingham, WA 98225-1906

835 E Fairhaven Ave
Burlington, WA 98233-1916
Phone (360) 755-0641

8844 Benson Rd
Lynden, WA 98264-9787
Phone (360) 318-0260

Hospital & facility affiliations

  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329
  • Island Hospital Hospital, Anacortes, WA, CCN 500007
  • Whidbeyhealth Medical Center Hospital, Coupeville, WA, CCN 501339
  • Peacehealth Peace Island Medical Center Hospital, Friday Harbor, WA, CCN 501340

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting55
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Aug 25, 2014 Accepting new patients
Peacehealth CurrentSince Sep 1, 2014 Accepting new patients
Peacehealth CurrentSince Nov 15, 2014 Accepting new patients
Peacehealth Medical Group - Sedro Woolley CurrentSince Aug 25, 2019 Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

2979 Squalicum Pkwy
Ste 101
Bellingham, WA 98225
Phone (360) 788-6934

835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641

1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: eking62154@direct.peacehealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1700083409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE",
            "address_2": "DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839324",
            "telephone_number": "360-734-2700",
            "fax_number": "360-734-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 SQUALICUM PKWY",
            "address_2": "SUITE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251811",
            "telephone_number": "360-734-2700",
            "fax_number": "360-734-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ERIC",
        "middle_name": "DEAYE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "OP60465060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.