Port Hadlock Medical Care LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PORT HADLOCK MEDICAL CARE LLC

Practice address

121 Oak Bay Rd
Port Hadlock, WA 98339-8718

Phone

(360) 379-6737

Fax

(360) 379-6518

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Peg Carlyle Carlson

Title

Owner

Phone

(360) 379-6737

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Jeanne Battenburg, N.P.

  • Family Nurse Practitioner
  • Port Hadlock, WA
  • NPI 1700874575
  NPD (past)
• Christine Susan Burnell, DNP, ARNP

  • Nurse Practitioner
  • Port Angeles, WA
  • NPI 1598795874
  NPD (past)
• Eric Christian Nelson, A.R.N.P.

  • Nurse Practitioner
  • Port Hadlock, WA
  • NPI 1912951765
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1831274471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1208",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983391208",
            "telephone_number": "360-379-6737",
            "fax_number": "360-379-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 OAK BAY RD",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983398718",
            "telephone_number": "360-379-6737",
            "fax_number": "360-379-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT HADLOCK MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "CARLYLE CARLSON",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-379-6737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9646688",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olympic Peninsula Health Services
• Michelle Maria Orozco, LM
• Amber Leonore Parker
• Peninsula Chiropractic Clinic
• Port Hadlock Dental Center Inc
• Kim Loraine Pratt, CCC-SLP
• Sheryl Ritz
• Sacred Dreams Counseling Center
• Joanna Marie Folk Scheibl, LMP
• David O Schores, O.D.

• Specialist in Port Hadlock, WA
• Providers in Port Hadlock, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.