Puget Sound Medical Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PUGET SOUND MEDICAL ASSOCIATES LLC

Practice address

21616 76TH Ave W Ste 202
Edmonds, WA 98026-7543

Phone

(425) 585-2452

Fax

(425) 209-3368

NPI assigned

Apr 13, 2023

Organization subpart

No

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

Authorized official

Name

Amber Farook, MDNPI 1588958599

Title

Owner/MD

Phone

(509) 969-6057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Amber Farook, M.D.

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1588958599
  Medicare reassignment Care Compare group NPD Authorized official
• Grace Kay Chao, PAC

  • Physician Assistant
  • Seattle, WA
  • NPI 1134496862
  Medicare reassignment Care Compare group
• Kara Harrington Brennan, MSN, ARNP-BC

  • Adult Health Nurse Practitioner
  • Bellevue, WA
  • NPI 1003245432
  Medicare reassignment NPD

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1245926195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9249 25TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981172812",
            "telephone_number": "425-585-2452",
            "fax_number": "425-209-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21616 76TH AVE W STE 202",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267543",
            "telephone_number": "425-585-2452",
            "fax_number": "425-209-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "FAROOK",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "509-969-6057",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puget Sound Dermatology, PLLC
• Puget Sound Family Physicians
• Puget Sound Gastroenterology, PLLC
• Puget Sound Gastroenterology, PLLC
• Puget Sound Gastroenterology, PLLC
• Puget Sound Neurology
• Puget Sound Otolaryngology Inc PS
• Chetan Pungoti, MD
• Siera Victoria Purcell, M.T.
• Pursuing Potential

• Family Medicine Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.