Parkway General Surgeons

Primary specialty

SpecialistTaxonomy code 174400000X

License

602762505 Issued in WA

Legal business name

PARKWAY GENERAL SURGEONS

Practice address

2940 Squalicum Pkwy
Suite 204
Bellingham, WA 98225-1892

Phone

(360) 733-0070

Fax

(360) 676-8351

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Kelly A Ebert

Title

Practice Manager

Phone

(360) 733-0070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VANDERGRIEND & VANDERGRIEND Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 6

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

• Camille Avina Miller, MD

  • Surgery Physician
  • Bellingham, WA
  • NPI 1932370335
  Medicare reassignment Care Compare group NPD
• Keith J Vander Griend, M.D.

  • Specialist
  • Bellingham, WA
  • NPI 1740222728
  Medicare reassignment Care Compare group NPD
• Orville Keith Vandergriend, M.D.

  • Surgery Physician
  • Bellingham, WA
  • NPI 1073662508

  Specialist

  Medicare reassignment NPD
• Meralee K H Byker, P.A.-C

  • Physician Assistant
  • Bellingham, WA
  • NPI 1346455870
  NPD (past)
• Jessica Maassen, AU.D.

  • Audiologist
  • Bellingham, WA
  • NPI 1508265075
  NPD (past)
• David Erik Olson, M.D.

  • Otolaryngology Physician
  • Bellingham, WA
  • NPI 1073550265

  Oral & Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1306992037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 SQUALICUM PKWY",
            "address_2": "SUITE 204",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251892",
            "telephone_number": "360-733-0070",
            "fax_number": "360-676-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 SQUALICUM PKWY",
            "address_2": "SUITE 204",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251892",
            "telephone_number": "360-733-0070",
            "fax_number": "360-676-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY GENERAL SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE  MANAGER",
        "authorized_official_telephone_number": "360-733-0070"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "602762505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7883507",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VANDERGRIEND & VANDERGRIEND",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michael Parker, LICSW
• Rebecca Maya Parker, N.D.
• Christine W Parkes, M.A.
• Marcus James Parkins, L.M.P.
• Vanessa Lea Parks
• Parkway Surgical Center, LLC
• Danielle Nicole Parlin, PA-S
• Rachel Parmer, APRN
• Salvinaz Parpia, PHARMD,BCPS
• Clark O. Parrish, M.D.

• Specialist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.