Organization Active NPI

Issaquah Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Issaquah, WA
National Provider Identifier
1316135114
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ISSAQUAH SURGERY CENTER, LLC
Doing business as
Issaquah Surgery Center
Practice address
6505 226TH Place SE
Suite 102
Issaquah, WA 98027-8905
Phone
(425) 313-0776
Fax
(425) 313-0771
NPI assigned
Oct 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Mr. Jeff Veilleux
Title
Executive Vice President & Cfo
Phone
(206) 386-6321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6505 226TH Place SE
Suite 102
Issaquah, WA 98027-8905

Mailing address

PO Box 94248
Seattle, WA 98124-6548
Phone (425) 313-0776

Other names 1

  • Issaquah Surgery Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Locations

6505 226th Pl SE
Ste 102
Issaquah, WA 98027
Phone (425) 313-0776

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1316135114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94248",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246548",
            "telephone_number": "425-313-0776",
            "fax_number": "425-313-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 226TH PLACE SE",
            "address_2": "SUITE 102",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278905",
            "telephone_number": "425-313-0776",
            "fax_number": "425-313-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAQUAH SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-06",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "VEILLEUX",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "206-386-6321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Issaquah Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.