Klaus Bernhard Jade, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00028011 Issued in WA

Practice address

205A Lilly Rd NE
Suite 2
Olympia, WA 98506-5069

Phone

(360) 459-4163

Fax

(360) 456-8155

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• L G Steck Memorial Clinic P S

  • Multi-Specialty Clinic/Center
  • Chehalis, WA
  • NPI 1710929252
  NPD

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1912927815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "address_2": "SUITE 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "360-486-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205A LILLY RD NE",
            "address_2": "SUITE 2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065069",
            "telephone_number": "360-459-4163",
            "fax_number": "360-456-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADE",
        "first_name": "KLAUS",
        "middle_name": "BERNHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00028011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1090935",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayme Jean Jacobs
• Linda D Jacobsen, ARNP
• Wei Wang Jacobsmeier
• Alexandra Jacobson
• Michael Jacoby
• Priscilla Kangyang Jadu, MA, CDPT
• Jessica Jahn, M.D.
• Logan Patrick Jahnke
• Kimberly Timberlake Jakubowski, PT, DPT
• Mona Jalili, PHARMD

• Dermatology Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.