Individual provider Active NPI

Philip Warren Early, MD

  • Anesthesiology Physician
  • Bainbridge Island, WA
National Provider Identifier
1720030570
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G65561 Issued in CA
Practice address
755 NE Brookcliff LN
Bainbridge Island, WA 98110-3965
Phone
(206) 842-3385
Fax
(206) 842-3385
NPI assigned
May 17, 2006
Last updated
May 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G65561 CA Primary

Addresses

Primary practice location

755 NE Brookcliff LN
Bainbridge Island, WA 98110-3965

Mailing address

755 NE Brookcliff LN
Bainbridge Island, WA 98110-3965
Phone (206) 842-3385

Other identifiers 2

IdentifierTypeStateIssuer
00G655610OtherCABS OF CA
00G655610MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27297CAMDOral and Maxillofacial Surgery (Dentist)
G65561CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor Community Hospital Current Accepting new patients
Physicians Anesthesia of Monroe, PLLC Anesthesiology Past Accepting new patients
Olympic Anesthesia Services, Inc Anesthesiology PastSince Aug 19, 2002 Accepting new patients
Philip Warren Early MD a Medical Comp Anesthesiology PastSince Sep 1, 2005 Accepting new patients
Anesthesia Relief LLC Past Accepting new patients
Tahoma Anesthesiology Consultants PS Anesthesiology Past Accepting new patients
Redwood Anesthesia Services, a Medical Corporation Anesthesiology Past Accepting new patients
Bullhead City Clinic Corp Family Medicine Past Accepting new patients

Locations

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

Interoperability endpoints

  • Direct secure messaging: earlypw@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1720030570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NE BROOKCLIFF LN",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103965",
            "telephone_number": "206-842-3385",
            "fax_number": "206-842-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NE BROOKCLIFF LN",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103965",
            "telephone_number": "206-842-3385",
            "fax_number": "206-842-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLY",
        "first_name": "PHILIP",
        "middle_name": "WARREN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G65561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF CA",
            "identifier": "00G655610",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G655610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.