Organization Active NPI

Center for Weight Loss Surgery PLLC

  • Surgery Physician
  • Federal Way, WA
National Provider Identifier
1245267327
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00033726 Issued in WA
Legal business name
CENTER FOR WEIGHT LOSS SURGERY PLLC
Practice address
34509 9TH Ave. South
Suite 103
Federal Way, WA 98003-8707
Phone
(253) 815-7774
Fax
(253) 815-7708
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Myur S Srikanth, M. D.
Title
President
Phone
(253) 815-7774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD00033726 WA Primary

Addresses

Primary practice location

34509 9TH Ave. South
Suite 103
Federal Way, WA 98003-8707

Mailing address

34509 9TH Ave. South
Suite 103
Federal Way, WA 98003-8707
Phone (253) 815-7774

National Provider Directory

National Provider Directory

Locations

34509 9th Ave S
Ste 103
Federal Way, WA 98003
Phone (253) 815-7774

12815 120th Ave NE
Kirkland, WA 98034
Phone (206) 388-7362

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245267327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE. SOUTH",
            "address_2": "SUITE 103",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038707",
            "telephone_number": "253-815-7774",
            "fax_number": "253-815-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE. SOUTH",
            "address_2": "SUITE 103",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038707",
            "telephone_number": "253-815-7774",
            "fax_number": "253-815-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WEIGHT LOSS SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SRIKANTH",
        "authorized_official_first_name": "MYUR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-815-7774",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00033726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • 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.