NPIMap

Organization Active NPI

Island Internal Medicine Inc P S

  • Internal Medicine Physician
  • Anacortes, WA
National Provider Identifier
1841386521
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ISLAND INTERNAL MEDICINE INC P S
Practice address
912 32ND St
Suite a
Anacortes, WA 98221-3473
Phone
(360) 293-4343
NPI assigned
Oct 4, 2006
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Bryan Murray, M.D.NPI 1992892731
Title
President
Phone
(360) 293-4343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

912 32ND St
Suite a
Anacortes, WA 98221-3473

Mailing address

912 32ND St
Suite a
Anacortes, WA 98221-3473
Phone (360) 293-4343

Other identifiers 1

IdentifierTypeStateIssuer
7113889MedicaidWA

Other names 1

  • LaConner Medical Center Other name

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: ckotal@islandinternalmedicine.direct.min-ns.md
  • Direct secure messaging: cdesch@islandinternalmedicine.direct.min-ns.md
  • Direct secure messaging: mshapley@islandinternalmedicine.direct.min-ns.md
  • Direct secure messaging: tsensiba@islandinternalmedicine.direct.min-ns.md
  • Direct secure messaging: hyoung@islandinternalmedicine.direct.min-ns.md
  • Direct secure messaging: bmurray@islandinternalmedicine.direct.min-ns.md
  • Direct secure messaging: ahoresh@islandinternalmedicine.direct.min-ns.md
  • Direct secure messaging: shill@islandinternalmedicine.direct.min-ns.md

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1841386521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 32ND ST",
            "address_2": "SUITE A",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213473",
            "telephone_number": "360-293-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 32ND ST",
            "address_2": "SUITE A",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213473",
            "telephone_number": "360-293-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND INTERNAL MEDICINE INC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-293-4343",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7113889",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaConner Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 25, 2013; 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.