Northwest Weight Loss Surgery, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

602225209 Issued in WA

Legal business name

NORTHWEST WEIGHT LOSS SURGERY, PLLC

Practice address

125 130TH St SE
First Floor
Everett, WA 98208-6400

Phone

(425) 385-2263

Fax

(425) 385-8476

NPI assigned

May 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gaia E Lukevich, RN, BSN, RNFA, CASC

Title

Administrator

Phone

(425) 385-2263

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devorah Alana Chock, M.D.

  • Surgery Physician
  • Everett, WA
  • NPI 1497780209
  NPD (past)
• Robert L Michaelson, MD

  • Surgery Physician
  • Everett, WA
  • NPI 1861457038
  NPD (past)
• Christine Kreins, R.D.

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Reno, NV
  • NPI 1659737658
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1023069747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 130TH ST SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086400",
            "telephone_number": "425-341-4800",
            "fax_number": "425-385-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 130TH ST SE",
            "address_2": "FIRST FLOOR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086400",
            "telephone_number": "425-385-2263",
            "fax_number": "425-385-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST WEIGHT LOSS SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "LUKEVICH",
        "authorized_official_first_name": "GAIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "425-385-2263",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, RNFA, CASC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "602225209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE BUSINESS ID",
            "identifier": "602225209",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Kidney Centers
• Northwest Natural Family Medicine, LLC
• Northwest Psychological Consulting, LLC
• Northwest Washington Eye Specialists
• Northwest Washington Radiation Oncology
• Northwest Weight Loss Surgery, PLLC
• Angela Norton, MA
• Catherine D Norton, ARNP
• Jane M Nosal, MD
• Nourished Seed Nutrition, PLLC

• Specialist in Everett, WA
• Providers in Everett, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.