Revitalize Metabolic Health PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REVITALIZE METABOLIC HEALTH PLLC

Practice address

2815 108TH St NW
Gig Harbor, WA 98332-7904

Phone

(360) 525-3679

NPI assigned

Mar 9, 2021

Organization subpart

No

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

Authorized official

Name

Christopher James Stadtherr, MDNPI 1437115532

Title

Physician

Phone

(360) 525-3679

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher J Stadtherr, MD

  • Family Medicine Physician
  • Bremerton, WA
  • NPI 1437115532
  NPD Authorized official

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1770168924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 108TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327904",
            "telephone_number": "360-525-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 108TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327904",
            "telephone_number": "360-525-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE METABOLIC HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "STADTHERR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "360-525-3679",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reisinger Counseling and Consulting
• Jennifer Reisinger, MA, LMHC
• Remy Rogers DDS PLLC
• Renal Care Group Northwest, Inc.
• Meika Retterath
• Revive Drip
• Lynsie Ann Reygaert
• Rhonda Savage, DDS, PLLC
• James L. Ribary
• Richard F Jensen

• Clinic/Center in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.