Organization Active NPI

Optum Care Washington PLLC

  • Durable Medical Equipment & Medical Supplies
  • Marysville, WA
National Provider Identifier
1194428425
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OPTUM CARE WASHINGTON PLLC
Practice address
8923 Soper Hill Rd
Marysville, WA 98270-6882
Phone
(425) 397-1704
Fax
(253) 355-1454
NPI assigned
Mar 24, 2023
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
EVERETT PHYSICIANS INC. P.S.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Dr. George Go, MDNPI 1447353693
Title
Board President
Phone
(425) 259-0966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Pediatrics Physician 208000000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

8923 Soper Hill Rd
Marysville, WA 98270-6882

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 304-8431

Other names 1

  • Optum - Soper Hill Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0662652Optum Care Washington, PLLC8923 Soper Hill Rd, Marysville, WA 98270ComplianceApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1200 112th Ave NE
Bellevue, WA 98004
Phone (425) 453-1039

18505 Bothell Way NE
Ste 215
Bothell, WA 98011
Phone (425) 595-3830

21401 72nd Ave W
Edmonds, WA 98026
Phone (425) 304-1101

21401 72nd Ave W
#300
Edmonds, WA 98026
Phone (425) 304-1101

21401 72nd Ave W
#301
Edmonds, WA 98026
Phone (425) 304-1101

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1818 121st St SE
Everett, WA 98208
Phone (425) 304-1100

1920 100th St SE
Everett, WA 98208
Phone (425) 312-0202

3726 Colby Ave
Everett, WA 98201
Phone (425) 257-1450

3802 Colby Ave
Everett, WA 98201
Phone (425) 339-5436

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

3927 Rucker Ave
Ste 101
Everett, WA 98201
Phone (425) 317-3950

3927 Rucker Ave
Ste 201
Everett, WA 98201

4004 Colby Ave
#101
Everett, WA 98201
Phone (206) 289-0966

4004 Colby Ave
Ste 101
Everett, WA 98201
Phone (425) 339-5417

4005 Hoyt Ave
Everett, WA 98201
Phone (425) 339-5408

4027 Hoyt Ave
Everett, WA 98201
Phone (425) 304-8476

4027 Hoyt Ave
Ste 104
Everett, WA 98201
Phone (425) 339-5489

900 Pacific Ave
Ste 500
Everett, WA 98201
Phone (425) 339-5400

11800 NE 128th St
Ste 560
Kirkland, WA 98034
Phone (425) 899-5200

1262 State Ave
Marysville, WA 98270
Phone (360) 651-7450

8923 Soper Hill Rd
Marysville, WA 98270
Phone (425) 397-1702

15418 Main St
Unit 200
Mill Creek, WA 98012
Phone (425) 225-8000

401 2nd St
Snohomish, WA 98290
Phone (360) 563-8600

Practitioners & affiliated clinicians

Practitioners 1,362

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,362

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1194428425",
    "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": "8923 SOPER HILL RD",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982706882",
            "telephone_number": "425-397-1704",
            "fax_number": "253-355-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM CARE WASHINGTON PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVERETT PHYSICIANS INC. P.S.",
        "enumeration_date": "2023-03-24",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optum - Soper Hill",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.