Washington Gastroenterology PLLC
Organization Active NPI Clinical Medical Laboratory · Federal Way, WA
NPI 1467011122 · NPPES record last updated May 6, 2021
Key facts
- NPI
- 1467011122
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- WASHINGTON GASTROENTEROLOGY PLLC
- Practice address
- 33915 1St Way S Ste 203
Federal Way, WA 98003-6396 - Phone
- (253) 838-9839
- Fax
- (253) 661-9077
- NPI assigned
- Jun 6, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- WASHINGTON GASTROENTEROLOGY PLLC
Authorized official
- Name
- Nicholas Goralsky
- Title
- Chief Operating Officer
- Phone
- (253) 383-8342
Other NPIs on the same Medicare enrollment 1
Member organizations 2
Practitioners 144
-
Abhishek Agarwal, MD
-
Sanjay Agrawal, M.D.
-
Jason Phillip Aitken, DNP, CRNA
-
Jessica R Alleman, CRNA
-
Karlee J Ausk, MD
-
Jason D Balazs, CRNA
-
Sharon I Barker, PA-C
-
Tammy Renee Barrett, CRNA
-
Julianne Bell, CRNA
-
Garrick D Brown, M.D.
-
Oname Oro Burlingame, MD, PHD
-
Riley N Bushman, CRNA
-
Raj Chandru Butani, M.D.
-
Janet Elaine Caragan, ARNP
-
Guiller Augustin Cea Carpio, MSN,DNM,ARNP,FNP-C
-
Richard F. Cessna Jr., CRNA
-
Anita Y Chan, CRNA
-
Thomas Bennett Clark Jr., CRNA
-
Paul Matthew Cornett, PH.D, RN
-
Sharan Dhillon, APRN
-
Bryan Doherty, M.D.
-
Charles S Donner, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190125002591 | WA | Part B Supplier - Independent Clinical Laboratory | 6204194848 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Federal Way, WA |
National Provider Directory
- Part of
- Washington Gastroenterology PLLC
Locations
1135 116th Ave NE
Ste LL160
Bellevue, WA 98004
Phone (425) 289-0577
21616 76th Ave W
Ste 211
Edmonds, WA 98026
Phone (206) 782-7441
33915 1st Way S
Ste 203
Federal Way, WA 98003
Phone (253) 838-9839
500 Lilly Rd NE
Ste 204
Olympia, WA 98506
Phone (360) 413-8191
11216 Sunrise Blvd E
Ste 3207
Puyallup, WA 98374
Phone (253) 770-3700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
33915 1St Way S Ste 203
Federal Way, WA 98003-6396
Mailing address
PO Box 3006
Tacoma, WA 98401-3006
Phone (800) 734-6855
Other practice location 1
2202 S Cedar St Ste 340
Tacoma, WA 98405-2318
Phone (253) 503-2559
Other names
- Washington Gastroenterology Lab
Other providers in Federal Way, WA
- Washington CVS Pharmacy LLC
- Washington CVS Pharmacy LLC
- Washington Dental Corporation, PC
- Washington Dental Federal Way, LLC
- Washington Gastroenterology PLLC
- Barbara Y Watanabe
- Kelli Wathne
- Elizabeth W Waweru
- Wayne E. Svoboda DDS PC
- Brandon Scott Weaver
All providers in Federal Way, WA · Clinical Medical Laboratory in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.