Active NPI
Robert William Schimpf, MD
- Pediatrics Physician
- Montesano, WA
National Provider Identifier
1972264497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 00011044
- Practice address
- 111 Schafer Meadows LN N
Montesano, WA 98563-9783 - Phone
- (360) 401-5356
- NPI assigned
- Jan 6, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 00011044 | WA | Primary |
Addresses
Primary practice location
111 Schafer Meadows LN N
Montesano, WA 98563-9783
Mailing address
111 Schafer Meadows LN N
Montesano, WA 98563-9783
Phone (360) 401-5356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00011044 | WA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1972264497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SCHAFER MEADOWS LN N",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985639783",
"telephone_number": "360-401-5356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SCHAFER MEADOWS LN N",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985639783",
"telephone_number": "360-401-5356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIMPF",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "00011044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montesano, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.