FREDERICK D LEIST MD INC PS
NPI 1609068352
Specialist in Bremerton, WA

Active since August 16, 2007
2600 CHERRY AVE, SUITE 201, BREMERTON, WA 98310(360) 479-4370(360) 792-1166 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Frederick D Leist Md Inc Ps NPPES

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

FREDERICK D LEIST MD INC PS (NPI 1609068352) is a healthcare organization registered as a specialist in Bremerton, Washington and active in the NPI registry since August 2007. The organization lists Suzanne M Fletcher, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1609068352
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFREDERICK D LEIST MD INC PS
Location Address2600 CHERRY AVE, SUITE 201Bremerton, WA 98310-4213
Mailing Address2600 Cherry Ave, Suite 201Bremerton, WA 98310-4213 · (360) 479-4370 · Fax (360) 792-1166
Fax(360) 792-1166
Organization SubpartNo
Authorized OfficialSuzanne M FletcherPractice Administrator · (360) 479-4370
Enumeration DateAugust 16, 2007
Last NPPES UpdateOctober 11, 2007
NPI 1609068352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · MD00010979
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.
2600 CHERRY AVE, Bremerton, WA 98310

Other Identifiers 2

Medicare PINGAB21428WA
Medicare UPINA06955WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinic/Center (Ambulatory Surgical)
2600 CHERRY AVE, SUITE 201
BREMERTON, WA 98310

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 Frederick D Leist MD Inc Ps's NPI number?

The NPI number for Frederick D Leist MD Inc Ps is 1609068352. It was assigned to this organization in the NPPES registry on August 16, 2007.

Where is Frederick D Leist MD Inc Ps located?

Frederick D Leist MD Inc Ps is located at 2600 Cherry Ave Suite 201, Bremerton, WA 98310. The listed phone number is (360) 479-4370.

What is Frederick D Leist MD Inc Ps'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 Frederick D Leist MD Inc Ps was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.