NPIMap

Organization Active NPI

Digestive Disease & Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Silverdale, WA
National Provider Identifier
1306973235
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASF.FS.60287214 Issued in WA
Legal business name
DIGESTIVE DISEASE & ENDOSCOPY CENTER, LLC
Practice address
3261 NW Mount Vintage Way Ste 221
Silverdale, WA 98383-6039
Phone
(360) 792-9118
Fax
(360) 918-9726
NPI assigned
Feb 27, 2007
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Justin Saetrum
Title
Ceo
Phone
(360) 479-1952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X ASF.FS.60287214 WA Primary

Addresses

Primary practice location

3261 NW Mount Vintage Way Ste 221
Silverdale, WA 98383-6039

Mailing address

3261 NW Mount Vintage Way Ste 221
Silverdale, WA 98383-6039
Phone (360) 479-1952

Other identifiers 1

IdentifierTypeStateIssuer
7121635MedicaidWA

Other names 1

  • Digestive Disease & Endoscopy Center, PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227000648 WA Part B Supplier - Ambulatory Surgical Center 2961398631 Practice locations: Silverdale, WA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Digestive Disease and Endoscopy Center PLLCCCN 50C0001223
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3261 NW Mount Vintage Way
Ste 221
Silverdale, WA 98383
Phone (360) 479-1952

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1306973235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 NW MOUNT VINTAGE WAY STE 221",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836039",
            "telephone_number": "360-479-1952",
            "fax_number": "360-918-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 NW MOUNT VINTAGE WAY STE 221",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836039",
            "telephone_number": "360-792-9118",
            "fax_number": "360-918-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE & ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "SAETRUM",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-479-1952"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "ASF.FS.60287214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7121635",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Disease & Endoscopy Center, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.