Optum Care Washington PLLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Everett, WA
NPI 1154318103 · NPPES record last updated Apr 8, 2024
Key facts
- NPI
- 1154318103
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- OPTUM CARE WASHINGTON PLLC
- Practice address
- 3927 Rucker Ave
Suite101
Everett, WA 98201-4833 - Phone
- (425) 317-3950
- NPI assigned
- Oct 4, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- EVERETT PHYSICIANS, INC. P.S.
Authorized official
- Name
- George Go, MD
- Title
- Board President
- Phone
- (425) 259-0966
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 19
Corporate family (same tax ID) 29
Practitioners 907
-
Gaytri Puri Scheel, M.D.
-
Nancy Thordarson, MD
-
James Troutman, M.D.
-
Eric Michael Abarr, PA-C
-
Paul A Abson, MD
-
Jeffery R Adams, MD
-
Laura Ngozi Adiele, FNP-BC
-
Sujata T Agnani, M.D.
-
Kinza Taiaba Ahmad, M.D.
-
Mohamed Anees Ahmed, M.D.
-
Wendi Diane Alexander, ARNP
-
Rachel P Allen, D.O.
-
Anne C Anholm, MD
-
Debra A Arford, NP
-
Rosaura Arriola, FNP
-
Warner Allen Asch, PA-C
-
Sidra Aslam, D.O.
-
Dana Christine Ball, PA-C
Medicare Care Compare: Ambulatory surgical center
- Listed as
- The Everett Clinic
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040210000570 | WA | Part B Supplier - Ambulatory Surgical Center | 6406752153 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment Practice locations: Everett, WA |
| O20111219000873 | WA | DME Supplier - Ambulatory Surgical Center | 6406752153 | Practice locations: Everett, WA |
National Provider Directory
- Tax ID family
- Everett Clinic
Locations
820 Exchange St
Astoria, OR 97103
Phone (503) 325-8200
1200 112th Ave NE
Ste C160
Bellevue, WA 98004
Phone (425) 453-1039
3903 Colby Ave
Everett, WA 98201
Phone (206) 252-3937
3025 Rucker Ave
Everett, WA 98201
Phone (425) 317-4650
1321 Colby Ave
Fl 3
Everett, WA 98201
1728 W Marine View Dr
Ste 106
Everett, WA 98201
7600 Evergreen Way
Everett, WA 98203
Phone (425) 259-1180
900 Pacific Ave
Ste 500
Everett, WA 98201
Phone (425) 339-5400
3827 Rucker Ave
Everett, WA 98201
3726 Colby Ave
Everett, WA 98201
Phone (425) 257-1450
11800 NE 128th St
Fl 5
Kirkland, WA 98034
Phone (425) 899-5200
8923 Soper Hill Rd
Marysville, WA 98270
Phone (425) 397-1702
15418 Main St
#200
Mill Creek, WA 98012
Phone (425) 225-8000
1025 153rd St SE
Mill Creek, WA 98012
Phone (425) 338-4000
15418 Main St
Unit M303
Mill Creek, WA 98012
Phone (425) 225-8003
15418 Main St
Ste 303A
Mill Creek, WA 98012
Phone (425) 225-8000
15418 Main St
Unit 303A
Mill Creek, WA 98012
15418 Main St
Ste 200
Mill Creek, WA 98012
Phone (425) 225-8000
4430 106th St SW
Mukilteo, WA 98275
Phone (425) 493-6000
11019 Canyon Rd E
Puyallup, WA 98373
Phone (253) 286-3600
509 Olive Way
Ste 200
Seattle, WA 98101
Phone (206) 860-2210
1448 NW Market St
Seattle, WA 98107
Phone (206) 781-6353
1229 Madison St
Fl 9
Seattle, WA 98104
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
3927 Rucker Ave
Suite101
Everett, WA 98201-4833
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 317-3950
Other names
- Optum - Kemp Surgery Center
Other providers in Everett, WA
- Kristina Oprishchenko
- Option Care Enterprises, Inc.
- Option Care Enterprises, Inc.
- Optum Behavioral Care of Colorado, P.C.
- Optum Care Washington PLLC
- Optum Care Washington PLLC
- Optum Care Washington PLLC
- Optum Care Washington PLLC
- Optum Care Washington PLLC
- Optum Care Washington PLLC
All providers in Everett, WA · Ambulatory Surgical Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.