Lakewood Surgical Urology PS

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD00044997 Issued in WA

Legal business name

LAKEWOOD SURGICAL UROLOGY PS

Practice address

11306 Bridgeport Way SW
Suite D
Lakewood, WA 98499-3005

Phone

(253) 581-7000

Fax

(253) 984-6774

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John B Bak, MD

Title

Owner/Provider

Phone

(253) 581-7000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215023940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97115",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984970115",
            "telephone_number": "253-588-7911",
            "fax_number": "253-984-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 BRIDGEPORT WAY SW",
            "address_2": "SUITE D",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993005",
            "telephone_number": "253-581-7000",
            "fax_number": "253-984-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD SURGICAL UROLOGY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "253-581-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WA",
            "license": "MD00044997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakewood Injury Chiropractic
• Lakewood Oaks, LLC
• Lakewood Orthopaedic Surgeons, P.S.
• Lakewood Pediatric Associates, PLLC
• Lakewood Pharmacy Inc
• Lakewood Wellness Clinic
• Kristin Laman, COTA
• Kristin Lamb
• Jennifer T Lamm, LPN
• Aldion Lamp

• Urology Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Urology Physician in Washington

• 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.