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DR. VIRGIL ERNEST KNACKSTEDT M.D.
NPI 1083605307
Specialist in Olympia, WA

Active since November 04, 2005
3417 ENSIGN RD NE, OLYMPIA, WA 98506(360) 493-4601(360) 493-4603 Get Directions Write a Review

NPPES record last updated: September 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Virgil Ernest Knackstedt M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIRGIL ERNEST KNACKSTEDT M.D. (NPI 1083605307) is an individual specialist in Olympia, Washington, licensed in Washington (MD00019853) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1083605307
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. VIRGIL ERNEST KNACKSTEDTCredential: M.D.
Location Address3417 ENSIGN RD NEOlympia, WA 98506-5064
Mailing Address3417 Ensign Rd NeOlympia, WA 98506-5064 · (360) 493-4601 · Fax (360) 493-4603
Phone(360) 493-4601
Fax(360) 493-4603
Sole ProprietorNo
Enumeration DateNovember 4, 2005
Last NPPES UpdateSeptember 11, 2013
✔ NPI 1083605307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MD00019853
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3417 ENSIGN RD NE, Olympia, WA 98506
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Other Identifiers 3

Medicare UPINA08941WA
Medicare ID-Type UnspecifiedAB14353WA
Medicaid8288805WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEVIN JOSEPH REED M.D.
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-4609
DR. LAWRENCE NORTHWOOD BENNETT MD
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-4600
DR. SAMUEL J. BOYNTON MD
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-4600
DR. TARIQ HESHAM BALAWI MD
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-4600
DR. JACK MARK FIELDS MD
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-4600
DR. IAN DAVID TIMMS MD
Radiology (Vascular & Interventional Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-4600
DR. CHRYSTEL THERESE VENTURINI MD
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-4600
DR. KEVIN JAY ROSCOE M.D.
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Virgil Knackstedt's NPI number?

The NPI number for Virgil Knackstedt is 1083605307. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Virgil Knackstedt located?

Virgil Knackstedt practices at 3417 Ensign Rd NE, Olympia, WA 98506. The listed phone number is (360) 493-4601.

What is Virgil Knackstedt's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Virgil Knackstedt was last updated on September 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.