Active NPI
Urology Northwest, PS
- Urology Physician
- Mountlake Terrace, WA
National Provider Identifier
1124084983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGY NORTHWEST, PS
- Practice address
- 6005 244TH St SW
Ste 111
Mountlake Terrace, WA 98043-5400 - Phone
- (425) 275-5555
- Fax
- (425) 275-5591
- NPI assigned
- Apr 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candy S Chapman
- Title
- Administrator
- Phone
- (425) 275-5547
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
6005 244TH St SW
Ste 111
Mountlake Terrace, WA 98043-5400
Mailing address
6005 244TH St SW
Ste 111
Mountlake Terrace, WA 98043-5400
Phone (425) 275-5555
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NO3976 | Other | WA | KING COUNTY |
| 7081094 | Medicaid | WA | |
| CE8230 | Other | WA | RAILROAD MEDICARE |
| 105065 | Other | WA | LABOR AND INDUSTRIES |
National Provider Directory
National Provider DirectoryLocations
24360 Van Ry Blvd
Ste 113
Mountlake Terrace, WA 98043
24360 Van Ry Blvd
Ste 111
Mountlake Terrace, WA 98043
Phone (425) 275-5555
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Ambulatory Surgical Clinic/Center
- Mountlake Terrace, WA
- NPI 1124467493
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Venice, FL
- NPI 1649215435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1124084983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 244TH ST SW",
"address_2": "STE 111",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980435400",
"telephone_number": "425-275-5555",
"fax_number": "425-275-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 244TH ST SW",
"address_2": "STE 111",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980435400",
"telephone_number": "425-275-5555",
"fax_number": "425-275-5591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY NORTHWEST, PS",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "CHAPMAN",
"authorized_official_first_name": "CANDY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "425-275-5547"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KING COUNTY",
"identifier": "NO3976",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7081094",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE8230",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "105065",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.