South Sound Surgery, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD00046250 Issued in WA

Legal business name

SOUTH SOUND SURGERY, PLLC

Practice address

101 2ND St NE
Auburn, WA 98002-4902

Phone

(253) 394-0125

NPI assigned

May 23, 2006

Organization subpart

Yes

Parent organization

SOUTH SOUND SURGERY, PLLCAs reported in NPPES

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

Authorized official

Name

John ConradNPI 1346287471

Title

Owner

Phone

(253) 394-0125

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

South Sound Surgery PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• South Sound Surgery, PLLC

  • Ambulatory Surgical Clinic/Center
  • Auburn, WA
  • NPI 1467783233
  NPPES parent name

Practitioners 5

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

• John Conrad, MD

  • Surgery Physician
  • Auburn, WA
  • NPI 1346287471
  Medicare reassignment Authorized official
• Christopher Neuman Petty, M.D.

  • Surgery Physician
  • Puyallup, WA
  • NPI 1710930896
  NPD (past)
• Donald R Stepan, MD

  • Surgery Physician
  • Bellevue, WA
  • NPI 1437293016
  NPD (past)
• Maria Cecila Oka, APRN

  • Family Nurse Practitioner
  • Kailua-Kona, HI
  • NPI 1235209263
  NPD (past)
• Linnea Johanna Spens, M.D.

  • Surgery Physician
  • Greenwood Village, CO
  • NPI 1871758706
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1467407353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1409",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980711409",
            "telephone_number": "253-394-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 2ND ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024902",
            "telephone_number": "253-394-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND SURGERY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH SOUND SURGERY, PLLC",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-394-0125"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00046250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7135429",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sound Interventional Pain Management, PLLC
• Sound Interventional Pain Management, PLLC
• South Auburn Medical Clinic Inc
• South Hill Surgical Practice Inc
• South Sound Inpatient Physicians PLLC
• South Sound Surgery, PLLC
• Sabrina Souza, MS
• Maimouna Sow, NP
• Megan Sparrow, PT, DPT
• Katlin R Spearman

• Surgery Physician in Auburn, WA
• Providers in Auburn, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.