Cabrini Tower Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

6023535960010001 Issued in WA

Legal business name

CABRINI TOWER AMBULATORY SURGERY CENTER

Practice address

901 Boren Ave Ste 1650
Seattle, WA 98104-3508

Phone

(206) 464-0873

Fax

(206) 467-7351

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Phil Carl Haeck, M.D.

Title

Physician

Phone

(206) 464-0873

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396833919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 1650",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043508",
            "telephone_number": "206-464-0873",
            "fax_number": "206-467-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 1650",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043508",
            "telephone_number": "206-464-0873",
            "fax_number": "206-467-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABRINI TOWER AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAECK",
        "authorized_official_first_name": "PHIL",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "206-464-0873",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "6023535960010001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI NO.",
            "identifier": "6023535960010001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Lucio Cabrera, DPT, NCS
• Leonora Cabrera, MA LMCHA
• Marin Eder Cabrera, MD
• Michelle Trager Cabrera, M.D.
• Milagros T Cabrera, RDH
• Aaron John Cruz Cabuang, PHARMD
• Carrie Grace Cabush
• David Cacanindin
• Michele A Cacano, LMP
• Angharad Caceres

• Ambulatory Surgical Clinic/Center in Seattle, WA
• Providers in Seattle, 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 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.