Alderwood Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALDERWOOD SURGERY CENTER LLC

Practice address

3500 188TH St SW
Suite 670
Lynnwood, WA 98037

Phone

(425) 775-3561

Fax

(425) 672-1385

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Gricelda Prado

Title

Practice Manager

Phone

(425) 775-3561

Specialties & licenses 1

Addresses

Tax ID family

Alderwood Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alderwood Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Lynnwood, WA
  • NPI 1376026575
  NPD tax ID

Practitioners 1

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

• Victoria Herradura Landon, CRNA

  • Certified Registered Nurse Anesthetist
  • Seattle, WA
  • NPI 1134630643
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1386858595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 188TH ST SW",
            "address_2": "SUITE 670",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374716",
            "telephone_number": "425-775-3561",
            "fax_number": "425-672-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 188TH ST SW",
            "address_2": "SUITE 670",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98037",
            "telephone_number": "425-775-3561",
            "fax_number": "425-672-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDERWOOD SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "GRICELDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "425-775-3561"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alderwood Holdings Inc.
• Alderwood Optometric Services PLLC
• Alderwood Psychological Services, Inc.
• Alderwood Superior Healthcare PLLC
• Alderwood Surgery Center LLC
• Alderwood Vision Clinic, Inc. P.S.
• Alderwood Vision Therapy and Development PLLC
• David Alan Alexander, MD
• Kelsey Rae Alfonso
• Danya Alghanmi

• Ambulatory Surgical Clinic/Center in Lynnwood, WA
• Providers in Lynnwood, 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 Jul 18, 2018; 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.