SURGERY CENTER ENUMCLAW (NPI# 1649368341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649368341 |
| Entity Type | Organization |
| Organization Name | SURGERY CENTER ENUMCLAW |
| Practice Address |
2820 Griffin Ave Suite 100 Enumclaw WA 98022-2373 |
| Practice Telephone | 3608025231 |
| Practice Fax Number | 3608025236 |
| Mailing Telephone | 3608025231 |
| Mailing Fax Number | 3608025236 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | DAVID H BISHOP (BOARD CHAIRMAN) |
| Authorized Official Telephone | 3608257500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PUGET SOUND SPECIALTY PHYSICIANS, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
FX00057007 | WA | Ambulatory Health Care Facilities |
| Street Address |
2820 GRIFFIN AVE SUITE 100 |
| City | ENUMCLAW |
| State | WA |
| Zip Code | 98022-2373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932156015 | Susan D. Louie | Occupational Therapist | 2820 Griffin Ave, Suite 110, Enumclaw, WA 98022-2373 | 2006-05-27 |
| 1235483579 | Franciscan Medical Group | Orthopaedic Surgery | 2820 Griffin Ave, #210, Enumclaw, WA 98022-2373 | 2012-11-08 |
| 1164720462 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 2820 Griffin Ave, Suite 101, Enumclaw, WA 98022-2373 | 2011-03-10 |
| 1235443334 | Foothills Internal Medicine Pllc | Clinic/Center | 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022-2373 | 2010-07-30 |
| 1710214473 | Kari Schamel | Massage Therapist | 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022-2373 | 2009-11-17 |
| 1770766271 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2820 Griffin Ave, Suite 101, Enumclaw, WA 98022-2373 | 2007-12-07 |
| 1992901151 | Puget Sound Specialty Physicians, Pllc | Specialist | 2820 Griffin Ave, Suite 100, Enumclaw, WA 98022-2373 | 2007-06-25 |
| 1265574909 | Rebekah Ruth Scribner | Pharmacist | 2820 Griffin Ave, #102, Enumclaw, WA 98022-2373 | 2007-02-12 |
| 1649285198 | Jane M Houtz | Internal Medicine | 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022-2373 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993725 | Megan's Massage and Esthetics LLC | Massage Therapist | 709 Griffin Ave, Enumclaw, WA 98022 | 2020-02-06 |
| 1154883494 | Nicola Given | Registered Nurse | 1818 Cole Street, Enumclaw, WA 98022 | 2019-04-04 |
| 1770099988 | Christopher P Koontz, Dds, Ps | Dentist | 2617 Griffin Ave, Enumclaw, WA 98022 | 2017-12-26 |
| 1487050977 | Hunter Chlebowski | Massage Therapist | 1453 Chinook Ave., Enumclaw, WA 98022 | 2014-11-10 |
| 1194156257 | James Kraft Symonds | Family Medicine | 1605 Washington Ave, Enumclaw, WA 98022 | 2013-11-27 |
| 1508209420 | Terri Lynn Kilbourne | Specialist | 1710 Railroad Street, Enumclaw Day Spa, Enumclaw, WA 98022 | 2013-04-10 |
| 1679824783 | Cortney Lauren Adams | Massage Therapist | 1156 Griffin Ave, Suite 209, Enumclaw, WA 98022 | 2012-09-28 |
| 1477828226 | Chella Bear Plastiras | Speech-Language Pathologist | 275 Peterson Drive East, Enumclaw, WA 98022 | 2012-03-13 |
| 1003186693 | Travis David Burt | Specialist | 1838 Porter St, Enumclaw, WA 98022 | 2012-01-12 |
| 1740590884 | Justin Andrew Bergstrom | Chiropractor | 2627 Griffin Ave., Enumclaw, WA 98022 | 2010-10-07 |
| Find all providers in zip 98022 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
| 1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
| Find all providers with the same taxonomy | ||||
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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.