Active NPI
Optum Care Washington PLLC
- Multi-Specialty Clinic/Center
- Arlington, WA
National Provider Identifier
1184369282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- OPTUM CARE WASHINGTON PLLC
- Practice address
- 4011 172ND St NE
Arlington, WA 98223-9822 - Phone
- (425) 259-0966
- NPI assigned
- May 3, 2022
- Organization subpart
- Yes
- Parent organization
- EVERETT PHYSICIANS, INC. P.S.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Go, M.D.
- Title
- Board President
- Phone
- (425) 259-0966
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
4011 172ND St NE
Arlington, WA 98223-9822
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 304-8431
Other names 1
- Optum - Arlington
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715299200000",
"number": "1184369282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-304-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 172ND ST NE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982239822",
"telephone_number": "425-259-0966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTUM CARE WASHINGTON PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EVERETT PHYSICIANS, INC. P.S.",
"enumeration_date": "2022-05-03",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A",
"authorized_official_last_name": "GO",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "BOARD PRESIDENT",
"authorized_official_telephone_number": "425-259-0966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optum - Arlington",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.