Surgery Center of Olympia LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF OLYMPIA LLC

Doing business as

South Sound Surgery Center

Practice address

410 Providence LN NE
Olympia, WA 98506-6927

Phone

(360) 486-6300

Fax

(360) 493-4242

NPI assigned

Sep 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Ann Houser

Title

Business Office Manager

Phone

(360) 486-6303

Specialties & licenses 1

Addresses

Other names 1

• South Sound Surgery Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Providence Health & Services Washington

  • Diagnostic Radiology Physician
  • Lacey, WA
  • NPI 1003367863

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316040405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 PACIFIC AVE SE",
            "address_2": "A6 PMB 411",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012176",
            "telephone_number": "360-486-6300",
            "fax_number": "360-493-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PROVIDENCE LN NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066927",
            "telephone_number": "360-486-6300",
            "fax_number": "360-493-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF OLYMPIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOUSER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "360-486-6303",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Sound Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunny Raindrops LLC
• Sunrise DS, LLC
• Supreme Living LLC
• Supreme Living, LLC
• Paul A Surette
• Surgical Associates PLLC
• Surgical PA, LLC
• Susan Rosen & Associates, PLLC
• Alysha Jacelyn Sussman
• Amy Beth Swadener, A.R.N.P.

• Ambulatory Surgical Clinic/Center in Olympia, WA
• Providers in Olympia, 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 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.