Surgical Associates Northwest PC
A Medicare group practice based in Federal Way, WA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3971596024), with 18 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3971596024
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- WA
- Enrollments
- 2
- Group size
- 13 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040406000126 | WA | Part B Supplier - Clinic/Group Practice | 1427128198 |
| O20051229000773 | WA | Part B Supplier - Ambulatory Surgical Center | 1629016555 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Surgical Associates Northwest, P.C.
- Urology Physician
- Federal Way, WA
- NPI 1427128198
-
Surgical Associates Northwest, PC
dba Rainier Surgical Center
- Ambulatory Surgical Clinic/Center
- Federal Way, WA
- NPI 1629016555
Practice locations
- Auburn, WA2
- Federal Way, WA2
Clinicians 18
Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (13).
-
Shane Selassie Anderson, MD PHD
- Anatomic Pathology & Clinical Pathology Physician
- Seattle, WA
- NPI 1952383432
-
Joseph Andrew Bellairs
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Federal Way, WA
- NPI 1275064354
-
Anthony Paul Caruso, MD
- Urology Physician
- Federal Way, WA
- NPI 1013913938
-
Lachelle Naliese Drollman, NP
- Family Nurse Practitioner
- Federal Way, WA
- NPI 1891091401
-
Mark B Emery, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Federal Way, WA
- NPI 1699716233
-
Ken Haberman, MD
- Urology Physician
- Federal Way, WA
- NPI 1225290489
-
Mark D Hegewald, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Federal Way, WA
- NPI 1700825304
-
Henedine Clark Hernando, ARNP
- Family Nurse Practitioner
- Tacoma, WA
- NPI 1649453234
-
Dick L. Hoistad, M.D.
- Otolaryngology Physician
- Federal Way, WA
- NPI 1770550923
-
Rebecca Hollander
- Physician Assistant
- Federal Way, WA
- NPI 1285028837
-
Yi Chang Hsieh
- Urology Physician
- Marshfield, WI
- NPI 1184628661
-
David Michael Johnson, MD
- Otolaryngology Physician
- Federal Way, WA
- NPI 1568704963
-
Richard Johnston, MD
- Urology Physician
- Tacoma, WA
- NPI 1477839066
-
Stephen Haim King, MD
- Urology Physician
- Federal Way, WA
- NPI 1891897468
-
Kirby J Lautman, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Federal Way, WA
- NPI 1689620270
-
Bailey Trout Stephenson
- Family Nurse Practitioner
- Federal Way, WA
- NPI 1720661580
-
Ryan E Stern, MD
- Otolaryngology Physician
- Federal Way, WA
- NPI 1487754941
-
Mark Hsueh Tseng, M.D
- Surgery Physician
- Auburn, WA
- NPI 1669631651
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.