Puget Sound Plastic Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

MD00027531 Issued in WA

Legal business name

PUGET SOUND PLASTIC SURGERY

Practice address

16 Central Way
Suite a
Kirkland, WA 98033-6115

Phone

(425) 202-4709

Fax

(425) 284-1609

NPI assigned

Nov 16, 2011

Last updated

Feb 24, 2015By 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

Dr. Braden C Stridde, MDNPI 1245385236

Title

Physician Owner

Phone

(425) 202-4709

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Braden Charles Stridde, MD

  • Pediatrics Physician
  • Kirkland, WA
  • NPI 1245385236
  Authorized official Same address or phone

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1225305477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CENTRAL WAY",
            "address_2": "SUITE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336115",
            "telephone_number": "425-202-4709",
            "fax_number": "425-284-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CENTRAL WAY",
            "address_2": "SUITE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336115",
            "telephone_number": "425-202-4709",
            "fax_number": "425-284-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "STRIDDE",
        "authorized_official_first_name": "BRADEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "425-202-4709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "MD00027531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Public Hosptial District No 2 (Evergreen Medical Group)
• Puget Sound Gastroenterology, PLLC (Puget Sound Gastroenterology at Kirkland)
• Puget Sound Gastroenterology, PLLC (Evergreen Endoscopy Center)
• Puget Sound Gastroenterology, PLLC
• Puget Sound Midwives Birth Center
• Jamie Marie Punzi, ND
• Molly Rose Putnam, MA, LMHC
• Patricia Eileen Putnam, MA, LMHC
• Qteyes PLLC (Juanita Vision Clinic)
• Siew Quah, RPH

• Ambulatory Surgical Clinic/Center in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.