NPIMap

Organization Active NPI

Synergy Medical Systems, LLC

  • Durable Medical Equipment & Medical Supplies
  • Federal Way, WA
National Provider Identifier
1144558172
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
60254960 Issued in WA
Legal business name
SYNERGY MEDICAL SYSTEMS, LLC
Practice address
500 S 336TH St Ste 109
Federal Way, WA 98003-6389
Phone
(253) 248-1470
NPI assigned
Dec 2, 2009
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
Brian Paul Baumgartner
Title
President
Phone
(541) 343-3758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 60254960 WA Primary

Addresses

Primary practice location

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

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150918002012 WA DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 0042420481 Practice locations: Federal Way, WA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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

1710 Willow Creek Cir
#1
Eugene, OR 97402
Phone (541) 852-4021

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1144558172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 WILLOW CREEK CIR",
            "address_2": "SUITE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029192",
            "telephone_number": "541-343-3758",
            "fax_number": "541-342-3341"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MEDICAL SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "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": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-343-3758"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "60254960",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.