Active NPI
The Doctors Clinic a Professional Corporation
Doing business as The Doctors Clinic Cavalon Place
- Multi-Specialty Clinic/Center
- Silverdale, WA
National Provider Identifier
1801047790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- THE DOCTORS CLINIC A PROFESSIONAL CORPORATION
- Doing business as
- The Doctors Clinic Cavalon Place
- Practice address
- 2011 NW Myhre PL
Silverdale, WA 98383-8561 - Phone
- (360) 830-1600
- NPI assigned
- Oct 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda A. Brown
- Title
- Ceo
- Phone
- (360) 782-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | WA | Primary |
Addresses
Primary practice location
2011 NW Myhre PL
Silverdale, WA 98383-8561
Mailing address
9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 612201101 | Other | OWCP | |
| 7145543 | Medicaid | WA |
Other names 1
- THE DOCTORS CLINIC CAVALON PLACE
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D1091795 | The Doctors Clinic Cavalon | Provider-performed microscopy | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba The Doctors Clinic of East Bremerton
- Multi-Specialty Clinic/Center
- Bremerton, WA
- NPI 1356309330
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416787200000",
"number": "1801047790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9621 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 NW MYHRE PL",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838561",
"telephone_number": "360-830-1600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DOCTORS CLINIC A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-09",
"last_updated": "2014-11-24",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "360-782-3600"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "612201101",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7145543",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE DOCTORS CLINIC CAVALON PLACE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Silverdale, WA
- The Art of Health, PLLC
- The Chiropractors Clinic, P.S.
- The Doctors Clinic a Professional Corporation (The Doctors Clinic of Silverdale)
- The Doctors Clinic a Professional Corporation (The Doctors Clinic Women's & Children's Center)
- The Doctors Clinic a Professional Corporation (The Doctors Clinic Salmon Medical Center)
- The Greenawalt Dhaliwal LLP (Kitssap OMS)
- Thedoctors Clinic a Professional Corporation (The Doctors Clinic Ridgetop East)
- Therapy House
- Stephanie Thiessen, LMHC
- Becky Ngoc Thieu, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.