Urology Northwest Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

UROLOGY NORTHWEST SURGERY CENTER

Practice address

6005 244TH St SW
Ste 111
Mountlake Terrace, WA 98043-5400

Phone

(425) 275-5555

Fax

(425) 275-5590

NPI assigned

Jun 20, 2013

Organization subpart

Yes

Parent organization

UROLOGY NORTHWEST, PSAs reported in NPPES

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

Addresses

Part of

Karny Jacoby MD

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Urology Northwest, PS

  • Urology Physician
  • Mountlake Terrace, WA
  • NPI 1124084983
  NPPES parent name

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1124467493",
    "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": "425-275-5590"
        },
        {
            "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": "425-275-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY NORTHWEST SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UROLOGY NORTHWEST, PS",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "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": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Grace Tulley
• Rachael Turner, LMP
• Rykiell Turner, B.A., M.A
• Geoffrey Louis Tyson, M.D.
• Umbrella Pediatrics PC
• Urology Northwest, PS
• Alina Maria Urriola, MD
• Douglas T Uyeda, MPT
• Ellen Marie Valda, LMHC
• Wienel Y Vanbrook, LSW

• Ambulatory Surgical Clinic/Center in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.