Sedro Woolley Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00013149 Issued in WA

Legal business name

SEDRO WOOLLEY FAMILY MEDICINE PLLC

Practice address

830 Ball St
Sedro Woolley, WA 98284-2008

Phone

(360) 855-1411

Fax

(360) 855-1933

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Denis A Harlock, MDNPI 1164532941

Title

Principal Officer

Phone

(360) 855-1411

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Denis A Harlock, MD

  • Family Medicine Physician
  • Sedro Woolley, WA
  • NPI 1164532941
  Authorized official Same address or phone

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730233800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982840450",
            "telephone_number": "360-855-1411",
            "fax_number": "360-855-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BALL ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982842008",
            "telephone_number": "360-855-1411",
            "fax_number": "360-855-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDRO WOOLLEY FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARLOCK",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "360-855-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00013149",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00041814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Schwarz Jr.
• Catherine Elizabeth Scott
• Jonique Scott, RN
• Sedro Woolley Emergency Physicians
• Sedro Woolley Family Dental Center, P.S.
• Sedro Woolley Physical Therapy, Inc., PS
• Sedro Woolley School District
• Sedro Woolley Vision Center Inc
• Sedro-Woolley Family Dental Center (Glyn A. Fleury DDS)
• Lauren Margaret Serl-Andrade

• Family Medicine Physician in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Family Medicine Physician in Washington

• 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.