Surgical & Endovascular Specialist

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00043987 Issued in WA

Legal business name

SURGICAL & ENDOVASCULAR SPECIALIST

Practice address

3104 Squalicum Pkwy
Bellingham, WA 98225-1936

Phone

(360) 733-6540

Fax

(360) 733-4674

NPI assigned

Jun 26, 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

Dr. Hoang Simon Tran, MDNPI 1346287380

Title

Owner

Phone

(360) 733-6540

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Hoang Simon Tran, M.D.

  • Vascular Surgery Physician
  • Newburgh, IN
  • NPI 1346287380
  NPD (past) Authorized official
• Richard J Jones, M.D.

  • Legal Medicine
  • Bellingham, WA
  • NPI 1568416840
  NPD (past)
• Roy Andrew Taylor, M.D.

  • Vascular Surgery Physician
  • Bellingham, WA
  • NPI 1720038086
  NPD (past)
• Fay C White, ARNP

  • Nurse Practitioner
  • Bellingham, WA
  • NPI 1154427805
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316974603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251936",
            "telephone_number": "360-733-6540",
            "fax_number": "360-733-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL & ENDOVASCULAR SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "HOANG",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-733-6540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00043987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Dental of Bellingham
• Sunrise Services, Inc.
• Sunrise Services, Inc.
• Sunrise Services, Inc.
• Super Track Urgent Care LLC
• Renee Leah Surratt, LMP
• Mani N. Sury, M.D.
• Susans Acupuncture & Herbal Clinic PS Inc
• Michael Alan Sutherland, M.D.
• Rebecca L Sutter, MA CMHC

• 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 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.