PUGET SOUND GASTROENTEROLOGY, PLLC (NPI# 1386615912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386615912 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND GASTROENTEROLOGY, PLLC |
| Other Organization Name | FREMONT ENDOSCOPY CENTER |
| Practice Address |
501 N 34th St Suite 101 Seattle WA 98103-8645 |
| Mailing Address |
Po Box 34888 Seattle WA 98124-1888 |
| Practice Telephone | 2068381777 |
| Practice Fax Number | 2068381771 |
| Mailing Telephone | 4259774620 |
| Mailing Fax Number | 4257459836 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | EUGENIO J HERNANDEZ (MANAGER) |
| Authorized Official Telephone | 7862053464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
600388519 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1043958 | 05 | |
| WA | LABOR AND INDUSTRIES | 0205564 | 01 |
| Other Name | Type Code |
|---|---|
| Fremont Endoscopy Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689646838 | Puget Sound Gastroenterology, Pllc | Clinical Medical Laboratory | 19000 33rd Ave W, Suite 230, Lynnwood, WA 98036-4751 | 2006-02-02 |
| 1427185388 | Puget Sound Gastroenterology, Pllc | Clinical Medical Laboratory | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 | 2007-02-27 |
| 1033132956 | Puget Sound Gastroenterology, Pllc | Internal Medicine | 21600 Hwy 99, Suite 260, Edmonds, WA 98026-8012 | 2006-07-25 |
| 1912929738 | Puget Sound Gastroenterology, Pllc | Internal Medicine | 16504 9th Ave Se, Suite 106, Mill Creek, WA 98012-6388 | 2006-07-24 |
| 1811914625 | Puget Sound Gastroenterology, Pllc | Clinic/Center | 21600 Hwy 99, Suite 260, Edmonds, WA 98026-8012 | 2006-07-16 |
| 1649212606 | Puget Sound Gastroenterology, Pllc | Clinical Medical Laboratory | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-06-12 |
| 1447212337 | Puget Sound Gastroenterology, Pllc | Clinic/Center | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 | 2006-04-05 |
| 1720059348 | Puget Sound Gastroenterology, Pllc | Clinic/Center | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-01-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PUGET SOUND GASTROENTEROLOGY, PLLC | 9155 S Dadeland Blvd, Suite 1500, Miami, FL 33156-2740 |
| Street Address |
501 N 34TH ST SUITE 101 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-8645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154437796 | Natalie Jean Keilholz | Nurse Practitioner | 501 N 34th St, Suite 101, Seattle, WA 98103-8856 | 2006-08-23 |
| 1598736167 | John P Hinds | Internal Medicine | 501 N 34th St, Suite 101, Seattle, WA 98103-8856 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| Find all providers in zip 98103 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1093836652 | Northwest Foot & Ankle Associates, P.s. | Clinic/Center | 1545 Ne 65th St, Seattle, WA 98115-6800 | 2007-04-02 |
| 1437202249 | Pacmed Clinics | Clinic/Center | 1101 Madison St Ste 400, Seattle, WA 98104-3599 | 2007-01-18 |
| 1811936990 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 900 Terry Ave, 3rd Floor, Seattle, WA 98104-4230 | 2006-06-05 |
| 1871095489 | Evergreen Eye Center, Inc. P.s. | Clinic/Center | 1229 Madison St Ste 1250, Seattle, WA 98104-3568 | 2018-02-28 |
| 1982149761 | The Polyclinic | Clinic/Center | 1229 Madison St, Suite 1090, Seattle, WA 98104-3586 | 2017-01-03 |
| 1013387729 | Group Health Cooperative | Clinic/Center | 201 16th Ave E, Suite Cmb-2, Seattle, WA 98112-5226 | 2015-10-07 |
| 1306217039 | First Hill Surgery Center LLC | Clinic/Center | 1101 Madison St, Suite 200, Seattle, WA 98104-1306 | 2015-10-07 |
| 1609245331 | Salem Surgical Services, LLC | Clinic/Center | 1700 7th Ave, Suite 116, Seattle, WA 98101-1397 | 2015-09-23 |
| 1326442583 | Madison Tower Plastic Surgery | Clinic/Center | 1101 Madison St, Suite 1101, Seattle, WA 98104-1306 | 2014-10-17 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.