Active NPI
Susanne Wilhelm, D.O.
- Family Medicine Physician
- Anacortes, WA
National Provider Identifier
1780819722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP60221514
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 2 Skagit County Washington | Current | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Current | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Current | 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.
-
- Rural Health Clinic/Center
- Lopez, WA
- NPI 1740203967
-
- Rural Health Clinic/Center
- Eastsound, WA
- NPI 1245827781
-
- Rural Acute Care Hospital
- Anacortes, WA
- NPI 1316182215
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.