Active NPI
Michael J Bart, MD
- Anesthesiology Physician
- Everett, WA
National Provider Identifier
1760458905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 29139
- Practice address
- 3726 Broadway Ste 206
Everett, WA 98201-3788 - Phone
- (206) 625-0578
- Fax
- (206) 625-9184
- NPI assigned
- Feb 27, 2006
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 29139 | WA | Primary |
Addresses
Primary practice location
3726 Broadway Ste 206
Everett, WA 98201-3788
Mailing address
1229 Madison St
Ste 1440
Seattle, WA 98104-3538
Phone (360) 336-6517
Other practice location 1
1229 Madison St Ste 1440
Seattle, WA 98104-3538
Phone (206) 625-0578 ext. 123
Other practice location 2
1971 Hwy 20
Sedro Woolley, WA 98284
Phone (360) 424-7041
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1074178 | Medicaid | WA | |
| 050035266 | Other | WA | RAILROAD MEDICARE |
| 22761 | Other | WA | REGENCE BLUE SHIELD |
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 |
|---|---|---|---|
| 29139 | WA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1760458905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 MADISON ST",
"address_2": "STE 1440",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043538",
"telephone_number": "360-336-6517",
"fax_number": "360-466-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3726 BROADWAY STE 206",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013788",
"telephone_number": "206-625-0578",
"fax_number": "206-625-9184"
}
],
"practiceLocations": [
{
"address_1": "1229 Madison St Ste 1440",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981043538",
"country_code": "US",
"telephone_number": "206-625-0578 x123",
"fax_number": "206-625-9184",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1971 Hwy 20",
"address_purpose": "LOCATION",
"city": "Sedro Woolley",
"state": "WA",
"postal_code": "98284",
"country_code": "US",
"telephone_number": "360-424-7041",
"fax_number": "360-424-8449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BART",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "29139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1074178",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050035266",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "22761",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.