NPIMap

Organization Active NPI

Lynnwood Medical Center, Incorporated, P.S.

  • Primary Care Clinic/Center
  • Lynnwood, WA
National Provider Identifier
1164555652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LYNNWOOD MEDICAL CENTER, INCORPORATED, P.S.
Practice address
19720 68TH Ave W
Suite B
Lynnwood, WA 98036-4568
Phone
(425) 776-8414
Fax
(425) 672-1084
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arthur Coday Jr., M.D.
Title
President
Phone
(425) 776-8414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X WA Primary

Addresses

Primary practice location

19720 68TH Ave W
Suite B
Lynnwood, WA 98036-4568

Mailing address

19720 68TH Ave W
Suite B
Lynnwood, WA 98036-4568
Phone (425) 776-8414

Other identifiers 2

IdentifierTypeStateIssuer
0165879OtherWADEPT. LABOR & INDUSTRIES
7075575MedicaidWA

Other names 1

  • Lynnwood Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164555652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19720 68TH AVE W",
            "address_2": "SUITE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364568",
            "telephone_number": "425-776-8414",
            "fax_number": "425-672-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19720 68TH AVE W",
            "address_2": "SUITE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364568",
            "telephone_number": "425-776-8414",
            "fax_number": "425-672-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNWOOD MEDICAL CENTER, INCORPORATED, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CODAY",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-776-8414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. LABOR & INDUSTRIES",
            "identifier": "0165879",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7075575",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynnwood Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.