NPIMap

Organization Active NPI

Synergy Medical Systems Inc

  • Durable Medical Equipment & Medical Supplies
  • Federal Way, WA
National Provider Identifier
1144493180
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
25801796 Issued in OR
Legal business name
SYNERGY MEDICAL SYSTEMS INC
Practice address
500 S 336TH St Ste 109
Federal Way, WA 98003-6389
Phone
(253) 248-1470
Fax
(253) 835-3485
NPI assigned
Apr 10, 2008
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Mr. Brian P Baumgartner
Title
President
Phone
(541) 343-3758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 25801796 OR Primary

Addresses

Primary practice location

500 S 336TH St Ste 109
Federal Way, WA 98003-6389

Mailing address

1710 Willow Creek Cir Ste 1
Eugene, OR 97402-9192
Phone (541) 343-3758

Other identifiers 2

IdentifierTypeStateIssuer
2048982MedicaidWA
3021091OtherORBLUE CROSS

National Provider Directory

National Provider Directory
Tax ID family
Synergy Medical Systems LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

500 S 336th St
Ste 109
Federal Way, WA 98003
Phone (253) 248-1470

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1144493180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 WILLOW CREEK CIR STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029192",
            "telephone_number": "541-343-3758",
            "fax_number": "541-343-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 336TH ST STE 109",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036389",
            "telephone_number": "253-248-1470",
            "fax_number": "253-835-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MEDICAL SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-343-3758",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "25801796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048982",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3021091",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.