Sequim Same Day Surgery Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

600 628 919 Issued in WA

Legal business name

SEQUIM SAME DAY SURGERY INC

Practice address

777 N 5TH Ave
Sequim, WA 98382-3080

Phone

(360) 582-2632

Fax

(360) 582-2631

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Novak, M.D.

Title

Medical Director

Phone

(360) 457-1431

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1295790970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823080",
            "telephone_number": "360-582-2632",
            "fax_number": "360-582-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823080",
            "telephone_number": "360-582-2632",
            "fax_number": "360-582-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUIM SAME DAY SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-457-1431",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "600 628 919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequim Medical Associates, PLLP
• Sequim of Cascadia, LLC
• Sequim Physical Therapy Center, PS (Fyzical Therapy and Balance Center)
• Sequim Physician Clinic
• Sequim Rehabilitation LLC (Avamere Olympic Rehabilitation of Sequim)
• Sequim School District
• Sequim School District
• Sequim Vision Clinic PS
• Binay Kumar Shah, MD
• Sheeler Denture Clinic

• Ambulatory Surgical Clinic/Center in Sequim, WA
• Providers in Sequim, 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 Jan 20, 2009; 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.