Northwest Surgical Asociates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHWEST SURGICAL ASOCIATES

Practice address

3104 Squalicum Pkwy
Bellingham, WA 98225-1941

Phone

(206) 542-7118

Fax

(206) 542-7338

NPI assigned

Aug 31, 2007

Last updated

Aug 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carrie Bergeson

Title

Manger

Phone

(206) 542-7118

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1194919241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251941",
            "telephone_number": "206-542-7118",
            "fax_number": "206-542-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251941",
            "telephone_number": "206-542-7118",
            "fax_number": "206-542-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SURGICAL ASOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "BERGESON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "206-542-7118",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7850407",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Pathology PLLC
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• Northwest Spine and Disc Center Inc. (Dyches Family Chiropractic)
• Northwest Telepsychiatry, PLLC
• Northwest Vascular Lab PLLC
• Northwest Vein Center, PLLC
• Northwest Walk-in Health Center (Walk In Health Clinic)
• Northwest Youth Services

• Specialist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.