Organization Active NPI

Valley Vascular Surgery

  • General Acute Care Hospital
  • Renton, WA
National Provider Identifier
1114955382
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
MD00037616 Issued in WA
Legal business name
VALLEY VASCULAR SURGERY
Practice address
4033 Talbot Rd S
Suite 530
Renton, WA 98055-5772
Phone
(425) 656-5568
Fax
(425) 656-5578
NPI assigned
Jun 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wes Jonathon Arlein, M.D.
Title
Vascular Surgeon
Phone
(425) 656-5568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MD00037616 WA Primary

Addresses

Primary practice location

4033 Talbot Rd S
Suite 530
Renton, WA 98055-5772

Mailing address

4033 Talbot Rd S
Suite 530
Renton, WA 98055-5772
Phone (425) 656-5568

Other identifiers 1

IdentifierTypeStateIssuer
8244717MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Valley Behavioral Healt13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114955382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S",
            "address_2": "SUITE 530",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555772",
            "telephone_number": "425-656-5568",
            "fax_number": "425-656-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S",
            "address_2": "SUITE 530",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555772",
            "telephone_number": "425-656-5568",
            "fax_number": "425-656-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VASCULAR SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARLEIN",
        "authorized_official_first_name": "WES",
        "authorized_official_middle_name": "JONATHON",
        "authorized_official_title_or_position": "VASCULAR SURGEON",
        "authorized_official_telephone_number": "425-656-5568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "MD00037616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8244717",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.