Seattle Extracorporeal

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

819241 Issued in WA

Legal business name

SEATTLE EXTRACORPOREAL

Practice address

925 Seneca Street
Seattle Extracorporeal
Seattle, WA 98101

Phone

(206) 223-6600

NPI assigned

Apr 21, 2016

Organization subpart

Yes

Parent organization

NOAs reported in NPPES

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

Authorized official

Name

Mr. Ray Lee Johnson, CCPNPI 1982058418

Title

Clinical Perfusionist

Phone

(206) 939-9898

Specialties & licenses 1

Addresses

Other names 1

• Virginia Mason Medical Center Doing business as

Part of

Seattle Extracorporeal

Practitioners 1

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

• Ray Johnson

  • Surgical Physician Assistant
  • Mercer Island, WA
  • NPI 1982058418
  NPD (past) Authorized official

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1396199824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4446 88TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404148",
            "telephone_number": "206-939-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SENECA STREET",
            "address_2": "SEATTLE EXTRACORPOREAL",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98101",
            "telephone_number": "206-223-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE EXTRACORPOREAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL PERFUSIONIST",
        "authorized_official_telephone_number": "206-939-9898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCP"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WA",
            "license": "819241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Mason Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seattle Ear Nose Throat TR
• Seattle East Asian Medicine PLLC
• Seattle Emergency Physicians Services
• Seattle Emergency Physicians Services Inc PS
• Seattle Endocrine PLLC
• Seattle Extracorporeal LLC
• Seattle Eye Docs PLLC
• Seattle Eye M.D.S , P.L.L.C.
• Seattle Eyecare Center LLC
• Seattle Face and Skin, PLLC

• Critical Access Hospital in Seattle, WA
• Providers in Seattle, WA by specialty
• Critical Access Hospital in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.