NPIMap

Individual provider Active NPI

Gregory Michael Wolgamot, M.D., PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Bellingham, WA
National Provider Identifier
1801849369
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
XXXXXXXX Issued in MI
Practice address
3614 Meridian St
Suite 100
Bellingham, WA 98225-1748
Phone
(360) 734-2800
Fax
(360) 734-3818
NPI assigned
May 18, 2006
Last updated
May 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X XXXXXXXX MI Primary
Dermatopathology (Pathology) Physician 207ZD0900X XXXXXXXX MI

Addresses

Primary practice location

3614 Meridian St
Suite 100
Bellingham, WA 98225-1748

Mailing address

3560 Meridian St Ste 101
Bellingham, WA 98225-1731
Phone (360) 734-2800

Other practice location 1

3548 Meridian St Ste 101
Bellingham, WA 98225-1710
Phone (360) 734-2800

Other practice location 2

2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 734-5400

Other identifiers 4

IdentifierTypeStateIssuer
MD00043141OtherWAMEDICAL LICENSE
MD5170WMedicaidAK
MEDS5895OtherAKMEDICAL LICENSE
3866WOOtherWAREGENCE BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, OK3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060808000242 WA Practitioner - Pathology 3870596067 Reassigns benefits to 1 organization
I20231211003668 TX Practitioner - Pathology 3870596067 Reassigns benefits to 1 organization
I20240117003657 OK Practitioner - Pathology 3870596067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Washington School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Pathology PLLCGroup PAC ID 4587553318, 7 clinicians

Practice addresses (Care Compare)

3560 Meridian St
Suite 101
Bellingham, WA 98225-1731
Phone (360) 734-2800

3614 Meridian St
Suite 100
Bellingham, WA 98225-1748
Phone (360) 734-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
XXXXXXXXMIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mattison Pathology, L.L.P. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Mattison Pathology, L.L.P. Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2023 Accepting new patients
Mattison Pathology LLP CurrentSince Jan 4, 2024 Accepting new patients
Mattison Pathology, L.L.P. Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2023 Accepting new patients
Northwest Pathology PLLC Dermatopathology PastSince Nov 1, 2020 Accepting new patients

Locations

1800 Renaissance Blvd
Ste L100
Edmond, OK 73013
Phone (866) 987-7284

4245 N Central Expy
Ste 420
Dallas, TX 75205
Phone (469) 232-9920

6221 Riverside Dr
Ste 119
Irving, TX 75039
Phone (469) 232-9920

4642 N Loop 289
Ste 205
Lubbock, TX 79416
Phone (806) 771-1352

3560 Meridian St
Ste 101
Bellingham, WA 98225
Phone (360) 543-6844

Interoperability endpoints

  • Direct secure messaging: greg.wolgamot@nwp.direct.kno2fy.com

Organizations & group practices 8

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1801849369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 MERIDIAN ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251731",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 MERIDIAN ST",
            "address_2": "SUITE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251748",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3548 Meridian St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251710",
            "country_code": "US",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251851",
            "country_code": "US",
            "telephone_number": "360-734-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLGAMOT",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "XXXXXXXX",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "MI",
            "license": "XXXXXXXX",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD00043141",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD5170W",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MEDS5895",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "3866WO",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.