ISLAND SURGEONS PS INC (NPI# 1528127362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528127362 |
| Entity Type | Organization |
| Organization Name | ISLAND SURGEONS PS INC |
| Practice Address |
1213 24th St Suite 700 Anacortes WA 98221-2592 |
| Practice Telephone | 3602935142 |
| Practice Fax Number | 3902992043 |
| Mailing Telephone | 3602935142 |
| Mailing Fax Number | 3902992043 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | LISA MAXWELL (MANAGER) |
| Authorized Official Telephone | 3602935142 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES | 33480 | 01 |
| WA | 7743206 | 05 | |
| WA | TRICARE | W103051 | 01 |
| WA | GROUP HEALTH | 064973001 | 01 |
| Street Address |
1213 24TH ST SUITE 700 |
| City | ANACORTES |
| State | WA |
| Zip Code | 98221-2592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215981022 | Kenneth R Ellis | Ophthalmology | 1213 24th St, Suite 300, Anacortes, WA 98221-2592 | 2006-05-19 |
| 1396171500 | Caroline Joy Roeder | Family Medicine | 1213 24th St, #100, Anacortes, WA 98221 | 2013-09-19 |
| 1780819722 | Susanne Wilhelm | Family Medicine | 1213 24th St, Suite #100, Anacortes, WA 98221-2592 | 2009-05-20 |
| 1245481720 | Public Hospital District No 2 Skagit County Washington | Clinic/Center | 1213 24th St, Suite 100, Anacortes, WA 98221-2592 | 2008-10-02 |
| 1356591077 | Public Hospital District No 2 Skagit County Washington | Clinic/Center | 1213 24th St, Anacortes, WA 98221-2592 | 2008-09-30 |
| 1053470880 | Michael D Sible | Surgery | 1213 24th St, Suite 700, Anacortes, WA 98221-2592 | 2006-12-07 |
| 1932268760 | Kristine E Schmaltz | Surgery | 1213 24th St, Suite 700, Anacortes, WA 98221-2592 | 2006-12-07 |
| 1780754739 | John R Mathis | Internal Medicine | 1213 24th St, #100, Anacortes, WA 98221-2592 | 2006-11-08 |
| 1093885089 | Marvin Richards | Pediatrics | 1213 24th St, #100, Anacortes, WA 98221-2592 | 2006-11-08 |
| 1821168865 | Kathleen Garde | Obstetrics & Gynecology | 1213 24th St, #100, Anacortes, WA 98221-2592 | 2006-11-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035703 | Amber Upchurch | Behavioral Analyst | 2405 28thst, Anacortes, WA 98221 | 2019-07-18 |
| 1508329475 | Sean Elby Kasperbauer-mccool | Massage Therapist | 1010 6th St., Suite A, Anacortes, WA 98221 | 2019-04-09 |
| 1558843524 | Caitlyn Kimble Crowder | Physical Therapist | 1610 Commercial Ave Ste 1-a, Anacortes, WA 98221 | 2018-09-05 |
| 1740731819 | Stanojka Norma Stuart | Speech-Language Pathologist | 6837 Deer Lane, Anacortes, WA 98221 | 2016-10-24 |
| 1447638853 | Island Behavioral Medicine, Ps | Counselor | 3208 K Ave, Anacortes, WA 98221 | 2015-05-18 |
| 1972903615 | Clarence Hugh Jonson | Specialist | 6818 Gibralter Place, Anacortes, WA 98221 | 2014-08-29 |
| 1073939062 | Puget Sound Kidney Centers | Clinic/Center | 809 31st St, Anacortes, WA 98221 | 2014-03-14 |
| 1104161066 | Nancy J. Schafer | Speech-Language Pathologist | 2200 M Avenue, Anacortes, WA 98221 | 2012-12-04 |
| 1063766053 | Ingrid K. Larson Thieman | Pharmacist | 9080 S March Pt Road B4, Anacortes, WA 98221 | 2012-10-30 |
| 1265793723 | Elga Kinnear | Psychologist | 1019 21st Street, Anacortes, WA 98221 | 2012-05-31 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053470880 | Michael D Sible | Surgery | 1213 24th St, Suite 700, Anacortes, WA 98221-2592 | 2006-12-07 |
| 1932268760 | Kristine E Schmaltz | Surgery | 1213 24th St, Suite 700, Anacortes, WA 98221-2592 | 2006-12-07 |
| 1417906991 | Rodger W Althoff | Surgery | 1211 24th St, Anacortes, WA 98221 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477181758 | Michael Joseph Skerda | Surgery | 747 Broadway Apt 111, Seattle, WA 98122-4307 | 2020-03-31 |
| 1184185779 | Arezu Hajar Monawer | Surgery | 747 Broadway Bldg 10th, Seattle, WA 98122-4307 | 2019-03-27 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1659858132 | Vancouver Vein & Surgical Center | Surgery | 13115 Ne 4th St Ste 230, Vancouver, WA 98684-5965 | 2018-07-26 |
| 1457884090 | Michael Edward Parsons | Surgery | 9040 Jackson Ave Attn: Department of Surgery, Tacoma, WA 98431-0001 | 2017-04-11 |
| 1891248969 | Jad Abou-khalil | Surgery | 1430 Summit Ave, Appt 502, Seattle, WA 98122-3533 | 2016-07-25 |
| 1285016196 | Amer Nassar | Surgery | Department of Surgery Education, University of Washington, Box 356410, Seattle, WA 98195-0001 | 2015-06-27 |
| 1477949857 | Richard Stein | Surgery | 4545 8th Ave Ne, Apt 610, Seattle, WA 98105-5795 | 2015-04-12 |
| 1518353044 | Brian Cook | Surgery | 815 Mercer St. Box 358047, Uw Medicine South Lake Union, Seattle, WA 98109-4325 | 2015-04-10 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
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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.