Active NPI
South Sound Surgery, PLLC
- Ambulatory Surgical Clinic/Center
- Auburn, WA
National Provider Identifier
1467783233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SOUTH SOUND SURGERY, PLLC
- Practice address
- 101 2ND St NE
Auburn, WA 98002-4902 - Phone
- (253) 394-0125
- NPI assigned
- Jan 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pam Stanfill
- Title
- Billing Manager
- Phone
- (253) 223-0515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
101 2ND St NE
Auburn, WA 98002-4902
Mailing address
PO Box 1409
Auburn, WA 98071-1409
Phone (253) 394-0125
Other names 1
- Auburn Surgical Center
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- South Sound Auburn Surgical Center
- Medicare certification status
- Terminated Voluntary: merger or closure, Oct 8, 2025
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2002197 | Auburn Surgical Center | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Surgery Physician
- Auburn, WA
- NPI 1467407353
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Puyallup, WA
- NPI 1881889731
-
- Surgery Physician
- Puyallup, WA
- NPI 1710930896
-
- Surgery Physician
- Bellevue, WA
- NPI 1437293016
-
- Family Nurse Practitioner
- Kailua-Kona, HI
- NPI 1235209263
-
- Surgery Physician
- Greenwood Village, CO
- NPI 1871758706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263859200000",
"number": "1467783233",
"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": "NO",
"enumeration_date": "2010-01-19",
"last_updated": "2010-01-19",
"status": "A",
"authorized_official_last_name": "STANFILL",
"authorized_official_first_name": "PAM",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "253-223-0515"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Auburn Surgical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.