Individual provider Active NPI

Margo K. Newell-Eggert, MD

  • Physical Medicine & Rehabilitation Physician
  • Olympia, WA
National Provider Identifier
1710062740
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD00029343 Issued in WA
Practice address
410 Providence LN NE
Building 2
Olympia, WA 98506-6927
Phone
(360) 493-4500
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD00029343 WA Primary

Addresses

Primary practice location

410 Providence LN NE
Building 2
Olympia, WA 98506-6927

Mailing address

PO Box 1166
Everett, WA 98206-1166
Phone (425) 258-7357

Other practice location 1

1800 Cooks Hill Rd
Centralia, WA 98531-9072
Phone (360) 330-8626

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mnewelleggert96746@wm.providencedirect.org Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100304000535 WA Practitioner - Physical Medicine and Rehabilitation 4385789197 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00029343WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington Current Accepting new patients
Providence Health & Services Washington CurrentSince Jun 3, 1999 Accepting new patients
Providence Health & Services Washington Current Accepting new patients
Providence Health & Services Washington CurrentSince Apr 13, 2000 Accepting new patients
Providence Health & Services Washington CurrentSince Jun 3, 1999 Accepting new patients

Locations

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

410 Providence Ln NE
Bldg 2
Olympia, WA 98506
Phone (360) 493-4500

Interoperability endpoints

  • Direct secure messaging: mnewelleggert96746@wm.providencedirect.org

Organizations & group practices 6

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1710062740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1166",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982061166",
            "telephone_number": "425-258-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PROVIDENCE LN NE",
            "address_2": "BUILDING 2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066927",
            "telephone_number": "360-493-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Cooks Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985319072",
            "country_code": "US",
            "telephone_number": "360-330-8626",
            "fax_number": "360-807-7983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWELL-EGGERT",
        "first_name": "MARGO",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00029343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnewelleggert96746@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1800 Cooks Hill Rd",
            "city": "Centralia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985319072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.