Organization Active NPI

West Tacoma Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Tacoma, WA
National Provider Identifier
1144290776
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WEST TACOMA SURGERY CENTER, LLC
Practice address
1628 S Mildred St
Suite 110
Tacoma, WA 98465-1627
Phone
(253) 564-2009
Fax
(253) 564-7420
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Joseph F. Jasper, M.D.NPI 1134102551
Title
Medical Dirct/Managing Member
Phone
(253) 564-2009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X WA Primary

Addresses

Primary practice location

1628 S Mildred St
Suite 110
Tacoma, WA 98465-1627

Mailing address

1628 S Mildred St
Suite 110
Tacoma, WA 98465-1613
Phone (253) 564-2009

Other identifiers 1

IdentifierTypeStateIssuer
7116346MedicaidWA

National Provider Directory

National Provider Directory

Locations

1628 S Mildred St
Ste 110
Tacoma, WA 98465
Phone (253) 564-2009

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1144290776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 S MILDRED ST",
            "address_2": "SUITE 110",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651613",
            "telephone_number": "253-564-2009",
            "fax_number": "253-564-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 S MILDRED ST",
            "address_2": "SUITE 110",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651627",
            "telephone_number": "253-564-2009",
            "fax_number": "253-564-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TACOMA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MEDICAL DIRCT/MANAGING MEMBER",
        "authorized_official_telephone_number": "253-564-2009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7116346",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.