Active NPI
Philip Warren Early, MD
- Anesthesiology Physician
- Bainbridge Island, WA
National Provider Identifier
1720030570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G65561
- 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, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G655610 | Other | CA | BS OF CA |
| 00G655610 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27297 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| G65561 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Physicians Anesthesia of Monroe, PLLC | Anesthesiology | Past | Accepting new patients |
| Olympic Anesthesia Services, Inc | Anesthesiology | Past | Accepting new patients |
| Philip Warren Early MD a Medical Comp | Anesthesiology | Past | 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
- 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.
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- Monroe, WA
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-
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- Olympia, WA
- NPI 1699723023
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- NPI 1639176381
-
dba Laughlin Walk In Care
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- NPI 1699955252
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
- Eagle Harbor Chiropractic Inc.P.S.
- Eagle Harbor Family Medicine PLLC
- Eagle Harbor Healthcare LLC (Bainbridge Island Health and Rehabilitation Center)
- Susan Eakins
- Erin D'Arcy Earle, MA LMHCA
- Catherine J Edwards, M.D.
- Sherri Miye Egashira, O.D.
- Eli Thornock DDS PLLC (Sound Smiles Dental)
- Elizabeth Criswell, DDS, PLLC
- Mari Linda Ellingsen, DC LMP
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.