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JAMES S EDSTAM M.D. NPI 1518022060


NPI Information

NPI: 1518022060
Provider Name: JAMES S EDSTAM, M.D.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
700 LILLY RD NE
OLYMPIA, WA
ZIP 98506
Phone: (360) 923-7000
Get Directions

James S Edstam, M.D. is a geriatric medicine internal medicine in Olympia, WA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. James S Edstam, M.D. NPI is 1518022060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

700 LILLY RD NE
OLYMPIA, WA
ZIP 98506-115
Phone: (360) 923-7000

The enumeration date for this NPI number is 12/26/2006 and was last updated on 5/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMD00016013WASHINGTONNo
2207RG0300XInternal MedicineGeriatric MedicineMD00016013WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A08236MEDICARE UPINWASHINGTON
2GAB24699MEDICARE PINWASHINGTON
31611607MEDICAIDWASHINGTON
4GAB24698MEDICARE PINWASHINGTON
5GAB24695MEDICARE PINWASHINGTON
6GAB24697MEDICARE PINWASHINGTON
7GAB24696MEDICARE PINWASHINGTON
8G8872305MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.