Center for Minimally Invasive Surgery PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTER FOR MINIMALLY INVASIVE SURGERY PLLC

Doing business as

Soundview Ambulatory Surgery Center

Practice address

5801 Soundview Dr
156
Gig Harbor, WA 98335-2095

Phone

(253) 572-7120

Fax

(253) 572-1071

NPI assigned

Feb 12, 2013

Last updated

Feb 16, 2017By 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. James D. Rifenbery, M.D.NPI 1942210653

Title

Owner

Phone

(253) 572-7120

Specialties & licenses 1

Addresses

Other names 1

• Soundview Ambulatory Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Center for Minimally Invasive Surgery PLLC

  • Surgery Physician
  • Tacoma, WA
  • NPI 1699950253

  1658344817

  Same PAC ID

Listed as

Center for Minimally Invasive Surgery PLLCCCN 50C0001308

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Pacific Podiatry Group, PS

  • Podiatrist
  • Tacoma, WA
  • NPI 1235165549

  Member Of

  NPD member
• Prime Health Clinic PLLC

  • Pediatric Gastroenterology Physician
  • Puyallup, WA
  • NPI 1710306436

  Member Of

  NPD member

Locations

Practitioners 5

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.

• James Dale Rifenbery, M.D.

  • Surgery Physician
  • Tacoma, WA
  • NPI 1942210653
  NPD Authorized official
• Rebecca E Brickman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tacoma, WA
  • NPI 1407886617
  NPD
• Gene C Knutson, DMP

  • Podiatrist
  • Tacoma, WA
  • NPI 1487688982
  NPD
• Ruben Jordan Mechell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tacoma, WA
  • NPI 1467772863
  NPD
• Yanira Perez, M.D.

  • Surgery Physician
  • Gig Harbor, WA
  • NPI 1548409733
  NPD (past)

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1225377278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 YAKIMA AVE",
            "address_2": "202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054499",
            "telephone_number": "253-572-7120",
            "fax_number": "253-572-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 SOUNDVIEW DR",
            "address_2": "156",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983352095",
            "telephone_number": "253-572-7120",
            "fax_number": "253-572-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MINIMALLY INVASIVE SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "RIFENBERY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-572-7120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soundview Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Gig Harbor, WA
• Providers in Gig Harbor, 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 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.