Puget Sound Anesthesia Service, PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP30004363 Issued in WA

Legal business name

PUGET SOUND ANESTHESIA SERVICE, PLLC

Practice address

1600 116TH Ave NE
Bellevue, WA 98004-3014

Phone

(425) 454-5133

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. James A Kroll, CRNA

Title

Member

Phone

(206) 654-9025

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1144408915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 161ST AVE NE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982907771",
            "telephone_number": "206-654-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043014",
            "telephone_number": "425-454-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND ANESTHESIA SERVICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-654-9025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30004363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9605668",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0063386",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KCMBS",
            "identifier": "KR4632",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tianna Prowell
• Valeriia Prudnikova
• Morgan Prutsman
• PT Pro Inc. (PT Pro)
• Laura Marie Pucher, MA, LMHC
• Puget Sound Physicians PLLC
• Puget Sound Plastic Surgical Group, PLLC (Dr. Bryan McIntosh)
• Puget Sound Plastic Surgical Group, PLLC
• Puget Sound Specialty Physicians PLLC (Factoria Foot & Ankle Clinic)
• Alan Pugh

• Certified Registered Nurse Anesthetist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.