Wisconsin CRH Surgeons, SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WISCONSIN CRH SURGEONS, SC

Practice address

4040 Lake Washington Blvd NE
#100
Kirkland, WA 98033-7874

Phone

(425) 284-7890

Fax

(425) 284-7896

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Sarah Standley, MBA

Title

Manager Contracting

Phone

(425) 284-7890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1043467277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W LOOMIS RD",
            "address_2": "#106",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328887",
            "telephone_number": "425-284-7890",
            "fax_number": "425-284-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 LAKE WASHINGTON BLVD NE",
            "address_2": "#100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337874",
            "telephone_number": "425-284-7890",
            "fax_number": "425-284-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN CRH SURGEONS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "STANDLEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER CONTRACTING",
        "authorized_official_telephone_number": "425-284-7890",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Kassandra Winter
• Christopher Michael Winters, LMT
• Udey Wirring
• Harrison Charles Wirth, DPT
• Celese Wischmeyer
• Andrew Joseph Wise, LMP
• Funke Adefope Wishko, MD
• Jennifer L Witt, M.D.
• Mary Beth Wittman, M.D.
• Olivia Loie Wittman

• Surgery Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.