MOUNT BAKER RHEUMATOLOGY CENTER PLLC
NPI 1467649376
Internal Medicine - Rheumatology in Bellingham, WA

Active since September 25, 2007CLIA 50D0634202 · Microscopy
500 BIRCHWOOD AVE, SUITE C, BELLINGHAM, WA 98225(360) 676-1610(360) 676-2459 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Internal Medicine
  • Rheumatology
  • CLIA Number: 50D0634202
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About MOUNT BAKER RHEUMATOLOGY CENTER PLLC

This page provides the complete NPI Profile along with additional information for Mount Baker Rheumatology Center Pllc, an internist established in Bellingham, Washington operating as a Internal Medicine, focusing in rheumatology . The healthcare provider is registered in the NPI registry with number 1467649376 assigned on September 2007. The practitioner's primary taxonomy code is 207RR0500X with license number 16552 (WA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. David Edward Wisner M.d. (Delegated Official)

NPI
1467649376 Verify this NPI
Provider Name
MOUNT BAKER RHEUMATOLOGY CENTER PLLC
Entity Type
Organization
Location Address
500 BIRCHWOOD AVE SUITE C BELLINGHAM, WA 98225
Location Phone
(360) 676-1610
Location Fax
(360) 676-2459
Mailing Address
500 BIRCHWOOD AVE SUITE C BELLINGHAM, WA 98225
Mailing Phone
(360) 676-1610
Mailing Fax
(360) 676-2459
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2007
Last Update Date
02-20-2008
Code Navigator

An internist like Mount Baker Rheumatology Center Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Rheumatology

Taxonomy Code
207RR0500X
Type
Allopathic & Osteopathic Physicians
License No.
16552
License State
WA
Taxonomy Description
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DAVID EDWARD WISNER M.D.

Authorized Official Title
DELEGATED OFFICIAL
Authorized Official Phone
(360) 676-1610

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7138068MEDICAID (05)WA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D0634202
Facility Type
Physician Office
Certificate Effective Date
July 26, 2000
Certificate Expiration Date
April 04, 2028
Laboratory Director
LARRY E. MOSS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Mount Baker Rheumatology Center Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Gynecology)
500 BIRCHWOOD AVE, SUITE A
BELLINGHAM, WA 98225
Nurse Practitioner
500 BIRCHWOOD AVE, SUITE C
BELLINGHAM, WA 98225
Internal Medicine (Rheumatology)
500 BIRCHWOOD AVE, #C
BELLINGHAM, WA 98225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467649376, enumerated as an "organization" on September 25, 2007.

The provider is located at 500 BIRCHWOOD AVE SUITE C BELLINGHAM, WA 98225 and the phone number is (360) 676-1610.

Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.