Organization Active NPI

Statcare Inc

  • Clinic/Center
  • Everett, WA
National Provider Identifier
1992764989
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD00017867 Issued in WA
Legal business name
STATCARE INC
Practice address
10333 19TH Ave SE
Suite 103
Everett, WA 98208-4259
Phone
(425) 385-2634
Fax
(425) 385-2635
NPI assigned
Mar 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Donald Stephen Dillinger, MD
Title
President
Phone
(425) 385-2634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD00017867 WA Primary

Addresses

Primary practice location

10333 19TH Ave SE
Suite 103
Everett, WA 98208-4259

Mailing address

10333 19TH Ave SE
Suite 103
Everett, WA 98208-4259
Phone (425) 385-2634

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1992764989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 19TH AVE SE",
            "address_2": "SUITE 103",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084259",
            "telephone_number": "425-385-2634",
            "fax_number": "425-385-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 19TH AVE SE",
            "address_2": "SUITE 103",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084259",
            "telephone_number": "425-385-2634",
            "fax_number": "425-385-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "DILLINGER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-385-2634",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MD00017867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.