NORTHWEST AMBULATORY SURGERY CENTER LLC (NPI# 1538260534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538260534 |
| Entity Type | Organization |
| Organization Name | NORTHWEST AMBULATORY SURGERY CENTER LLC |
| Practice Address |
1920 100th St Se A1 Everett WA 98208-3832 |
| Practice Telephone | 4253163700 |
| Practice Fax Number | 4253166881 |
| Mailing Telephone | 4253163700 |
| Mailing Fax Number | 4253166881 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GORDON S NISHIMOTO (PRESIDENT) |
| Authorized Official Telephone | 4253163700 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
PO 00000725 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WORKERS COMP | 105943 | 01 |
| WA | 7120629 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245482280 | Northwest Ambulatory Surgery Center LLC | Clinic/Center | 1515 Nw 18th Ave, Ste 200, Portland, OR 97209-2516 | 2008-10-22 |
| Street Address |
1920 100TH ST SE A1 |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423300 | Chelsa Greene | Registered Nurse | 1920 100th St Se, Everett, WA 98208-3832 | 2019-08-19 |
| 1851803886 | William Derrell Hill | Counselor | 1920 100th St Se, Everett, WA 98208-3832 | 2017-10-31 |
| 1710405113 | Ariadna Alejandra Fraire | Case Manager/Care Coordinator | 1920 100th St Se, Suite A2, Everett, WA 98208 | 2017-09-06 |
| 1528512902 | Julia Christianson | Marriage & Family Therapist | 1920 100th St Se, A2, Everett, WA 98208-3832 | 2016-08-15 |
| 1417308024 | Leo David Debroeck | Counselor | 1920 100th St Se, Sea Mar Behavioral Health Child and Family Suite A-2, Everett, WA 98208 | 2016-06-24 |
| 1477911410 | Sea-mar Community Health Center | Clinic/Center | 1920 100th St Se, Ste C2, Everett, WA 98208-3832 | 2016-02-05 |
| 1477924165 | Ryan Scott Taylor | Counselor | 1920 100th St Se, Suite A2, Everett, WA 98208-3832 | 2015-10-07 |
| 1982074209 | Annelise Joslin | Nurse Practitioner | 1920 100th St Se, Suite A2, Everett, WA 98208-3832 | 2015-09-29 |
| 1497146443 | Susan Golden | Counselor | 1920 100th St Se, Suite A2, Everett, WA 98208-3832 | 2015-02-12 |
| 1700217387 | Anne Weed | Counselor | 1920 100th St Se, Suite C, Everett, WA 98208-3832 | 2013-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988418 | Liberty Lake Foot & Ankle Pllc | Clinic/Center | 23505 E Appleway Ave Ste 104, Liberty Lake, WA 99019-6003 | 2019-05-22 |
| 1891267449 | Multicare Health System | Clinic/Center | 1414 N Houk Rd Ste 104, Spokane Valley, WA 99216-1097 | 2018-12-20 |
| 1841727997 | Joyce E Lee Dpm Pllc | Clinic/Center | 21616 76th Ave W Ste 109, Edmonds, WA 98026-7512 | 2017-05-20 |
| 1740642024 | Public Hospital District No 1 of Mason County | Clinic/Center | 2964b Limited Ln Nw, Olympia, WA 98502-4577 | 2016-03-24 |
| 1669872925 | Nathan Hansen | Clinic/Center | 16708 Bothell Everett Hwy Ste 204, Mill Creek, WA 98012-6345 | 2014-08-23 |
| 1891001921 | Anthony S Karuza, Dpm Ps Inc | Clinic/Center | 3120 Squalicum Pkwy Ste 1, Bellingham, WA 98225-1934 | 2010-08-26 |
| 1982789095 | Spokane Foot Clinic, Ps | Clinic/Center | 3151 E 29th, #101, Spokane, WA 99223 | 2006-10-26 |
| 1306921424 | Spokane Foot Clinic, Ps | Clinic/Center | 606 N Pines, Spokane, WA 99206 | 2006-10-26 |
| 1215012331 | Spokane Foot Clinic, Ps | Clinic/Center | 123 W Francis, Spokane, WA 99205 | 2006-10-26 |
| 1861010548 | Peninsula Foot and Ankle Clinic Pllc | Clinic/Center | 630 E 8th St, Port Angeles, WA 98362-6224 | 2020-07-09 |
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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.