PUGET SOUND GASTROENTEROLOGY, PLLC (NPI# 1447212337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447212337 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND GASTROENTEROLOGY, PLLC |
| Other Organization Name | EVERGREEN ENDOSCOPY CENTER |
| Practice Address |
11800 Ne 128th St Suite 100 Kirkland WA 98034-7208 |
| Mailing Address |
Po Box 34888 Seattle WA 98124-1888 |
| Practice Telephone | 4258994500 |
| Practice Fax Number | 4258994510 |
| Mailing Telephone | 4259774620 |
| Mailing Fax Number | 4257459836 |
| Enumeration Date | 2006-04-05 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1044235 | 05 | |
| WA | LABOR AND INDUSTRIES | 0155305 | 01 |
| Other Name | Type Code |
|---|---|
| Evergreen 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 |
| 1386615912 | Puget Sound Gastroenterology, Pllc | Clinic/Center | 501 N 34th St, Suite 101, Seattle, WA 98103-8645 | 2006-01-31 |
| 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 |
| 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 |
11800 NE 128TH ST SUITE 100 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690242 | Richard C Carlsen | Pharmacist | 11800 Ne 128th St, Ste 150, Kirkland, WA 98034 | 2005-12-20 |
| 1962935197 | Lake Washington Anesthesia Pllc | Anesthesiology | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 | 2017-04-05 |
| 1104278654 | Corissa Wennerlind | Physical Therapist | 11800 Ne 128th St, Ste 510, Kirkland, WA 98034-7208 | 2016-07-08 |
| 1861843989 | Kathy Tram Daotay | Nurse Practitioner | 11800 Ne 128th St, Suite 300, Kirkland, WA 98034-7208 | 2016-06-30 |
| 1720449804 | Teresa K Yagi Dds Pllc | Dentist | 11800 Ne 128th St, Suite 520, Kirkland, WA 98034-7208 | 2016-03-16 |
| 1285003707 | Lauren Janice Ma | Dentist | 11800 Ne 128th St, Suite 520, Kirkland, WA 98034-7208 | 2015-09-15 |
| 1699143230 | Manual Therapy International P.s., P.l.l.c. | Clinic/Center | 11800 Ne 128th St, Suite 510, Kirkland, WA 98034-7208 | 2015-09-14 |
| 1255713145 | Annette Anderson | Nurse Practitioner | 11800 Ne 128th St, 2nd Floor, Kirkland, WA 98034-7208 | 2015-06-26 |
| 1699154013 | Ester Anne Yang | Physician Assistant | 11800 Ne 128th St, Ms:a-me, Kirkland, WA 98034-7208 | 2015-05-19 |
| 1528489648 | Hillarie Hemmann | Physical Therapist | 11800 Ne 128th St, Ste 400, Kirkland, WA 98034-7208 | 2013-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235419334 | Partington Plastic Surgery Center | Clinic/Center | 10220 Ne Points Dr Ste 110, Kirkland, WA 98033-7864 | 2011-08-19 |
| 1417118472 | David F. Pratt Md Ps | Clinic/Center | 10413 Ne 37th Cir, Bldg 3, Ste B, Kirkland, WA 98033-7924 | 2008-06-23 |
| 1043694185 | King County Public Hospital District No. 2 | Clinic/Center | 12333 Ne 130th Ln, #420, Kirkland, WA 98034-7467 | 2015-07-18 |
| 1225305477 | Puget Sound Plastic Surgery | Clinic/Center | 16 Central Way, Suite A, Kirkland, WA 98033-6115 | 2011-11-16 |
| 1215249941 | Yarrow Bay Plastic Surgery Center | Clinic/Center | 5209 Lake Washington Blvd Ne, Suite 115, Kirkland, WA 98033-7355 | 2010-07-10 |
| 1942417969 | Northwest Nasal Sinus Center | Clinic/Center | 3100 Carillon Pt, Kirkland, WA 98033-7306 | 2007-05-17 |
| 1750401147 | Northwest Nasal Sinus Asc | Clinic/Center | 3100 Carillon Pt, Kirkland, WA 98033-7306 | 2007-03-30 |
| 1952310211 | Washington Institute Orthopedic Center | Clinic/Center | 12707 120th Ave Ne, Suite 205, Kirkland, WA 98034-7500 | 2006-08-05 |
| 1871512756 | Eastside Urology Associates,. P.s. | Clinic/Center | 11911 Ne 132nd St, Suite 200, Kirkland, WA 98034-2900 | 2006-07-19 |
| 1952340036 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 12333 Ne 130th Ln, Suite 420, Kirkland, WA 98034-7467 | 2006-06-05 |
| Find all providers in KIRKLAND | ||||
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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.