Individual provider Active NPI

Joseph J. Deck, MD

  • Anesthesiology Physician
  • Bellingham, WA
National Provider Identifier
1881612729
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00028785 Issued in WA
Practice address
2980 Squalicum Pkwy
Suite 105
Bellingham, WA 98225-1880
Phone
(360) 647-3377
Fax
(360) 752-3214
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD00028785 WA Primary

Addresses

Primary practice location

2980 Squalicum Pkwy
Suite 105
Bellingham, WA 98225-1880

Mailing address

2980 Squalicum Pkwy
Suite 105
Bellingham, WA 98225-1880
Phone (360) 647-3377

Other identifiers 2

IdentifierTypeStateIssuer
8145880MedicaidWA
50051686OtherWAMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040426000167 WA Practitioner - Anesthesiology 9436058930 Reassigns benefits to 1 organization
I20091118000181 CA Practitioner - Anesthesiology 9436058930 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 1, 2016 Accepting new patients
Salish Sedation Services, PLLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 1, 2016 Accepting new patients
Northwest Gastroenterology Professional LLC PastSince Aug 5, 1998 Accepting new patients
Upmc Washington Past Accepting new patients
Bellingham Anesthesia Associates, P.S. Anesthesiology PastSince Jul 17, 2019 Accepting new patients
Northern California Anesthesia Associates Anesthesiology Past Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3435 Valle Verde Dr
Ste C
Napa, CA 94558
Phone (707) 226-2031

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

2930 Squalicum Pkwy
Ste 202
Bellingham, WA 98225
Phone (360) 734-1420

3111 Woburn St
Ste 201
Bellingham, WA 98226
Phone (360) 543-5054

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1881612729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 SQUALICUM PKWY",
            "address_2": "SUITE 105",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251880",
            "telephone_number": "360-647-3377",
            "fax_number": "360-752-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 SQUALICUM PKWY",
            "address_2": "SUITE 105",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251880",
            "telephone_number": "360-647-3377",
            "fax_number": "360-752-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECK",
        "first_name": "JOSEPH",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00028785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8145880",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "50051686",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.