Surgery Center of Silverdale LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

602478678 Issued in WA

Legal business name

SURGERY CENTER OF SILVERDALE LLC

Practice address

9800 Levin Rd NW # 102
Silverdale, WA 98383-7856

Phone

(360) 692-2728

Fax

(360) 692-6009

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Blake Reiter, MD

Title

Authorized Official

Phone

(360) 692-2728

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Listed as

Surgery Center of Silverdale LLCCCN 50C0001270

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Commonspirit Washington Community Care

  • General Acute Care Hospital
  • Silverdale, WA
  • NPI 1518912609

  Member Of

  NPD member
• Multicare Health System

  • General Acute Care Hospital
  • Puyallup, WA
  • NPI 1841231461

  Member Of

  NPD member

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1467515015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 LEVIN RD NW # 102",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837856",
            "telephone_number": "360-692-2728",
            "fax_number": "360-692-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 LEVIN RD NW # 102",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837856",
            "telephone_number": "360-692-2728",
            "fax_number": "360-692-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF SILVERDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "REITER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "360-692-2728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "602478678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7138217",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00403366",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Herdman Sudduth, M.D.
• Marc Ira Suffis, M.D.
• Sarah Treacy Sullivan, PT
• Sun-a-DO Massage and Wellness
• Suquamish Tribal
• Dominique Hannah Swartz, RN
• Jennifer Ann Sweeney, OT
• Aaron Swenson, MD
• Helena Francesca Swift
• Kristy Swift

• Ambulatory Surgical Clinic/Center in Silverdale, WA
• Providers in Silverdale, 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 Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.