Virginia Mason Medical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

H-010 Issued in WA

Legal business name

VIRGINIA MASON MEDICAL CENTER

Practice address

100 NE Gilman Blvd
Issaquah, WA 98027-2925

Phone

(425) 557-8000

NPI assigned

Feb 5, 2007

Organization subpart

Yes

Parent organization

VIRGINIA MASON MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Monica Hilt

Title

President

Phone

(206) 341-1208

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VIRGINIA MASON ISSAQUAH ASC Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Virginia Mason Medical Center

  • Ambulatory Surgical Clinic/Center
  • Lynnwood, WA
  • NPI 1154460525

  O20040209000486

  Same enrollment
• Virginia Mason Medical Center

  • Ambulatory Surgical Clinic/Center
  • Bellevue, WA
  • NPI 1699702050

  O20040209000486

  Same enrollment
• Virginia Mason Medical Center

  • Ambulatory Surgical Clinic/Center
  • Federal Way, WA
  • NPI 1982743340

  O20040209000486

  Same enrollment

Listed as

Virginia Mason Medical CenterCCN 50C0001066

Medicare certification status

ActiveFrom the Provider of Services file

Part of

Virginia Mason Occup Me

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1336288703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741515",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900741515",
            "telephone_number": "206-515-5811",
            "fax_number": "206-341-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE GILMAN BLVD",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272925",
            "telephone_number": "425-557-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MASON MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRGINIA MASON MEDICAL CENTER",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "HILT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-341-1208"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "H-010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7070220",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC #",
            "identifier": "490005240",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIRGINIA MASON ISSAQUAH ASC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIRGINIA MASON ISSAQUAH ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Simone L Vincent, ARNP
• Nasima K Vira, MD
• Virginia Mason Medical Center
• Virginia Mason Medical Center
• Visual Consulting Corporation, Inc
• Michael John Viveiros
• Michelle C Voetberg
• Jeanne Vogel, RN
• Donna Marie Von Bargen, PHD

• Ambulatory Surgical Clinic/Center in Issaquah, WA
• Providers in Issaquah, 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 7, 2024; 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.