Individual provider Active NPI

Susanne Wilhelm, D.O.

  • Family Medicine Physician
  • Anacortes, WA
National Provider Identifier
1780819722
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP60221514 Issued in WA
Practice address
1213 24TH St
Suite #100
Anacortes, WA 98221-2592
Phone
(360) 293-4655
Fax
(360) 588-1041
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP60221514 WA Primary

Addresses

Primary practice location

1213 24TH St
Suite #100
Anacortes, WA 98221-2592

Mailing address

1213 24TH St
Suite #100
Anacortes, WA 98221-2592
Phone (360) 293-4655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111114000398 WA Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 4183898927 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 Skagit County Washington CurrentSince Oct 3, 2011 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Oct 3, 2011 Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1213 24th St
Ste 100
Anacortes, WA 98221
Phone (360) 293-3101

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1780819722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 24TH ST",
            "address_2": "SUITE #100",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212592",
            "telephone_number": "360-293-4655",
            "fax_number": "360-588-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 24TH ST",
            "address_2": "SUITE #100",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212592",
            "telephone_number": "360-293-4655",
            "fax_number": "360-588-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "SUSANNE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60221514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.