Puget Sound Surgical Assistants LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA10004021 Issued in WA

Legal business name

PUGET SOUND SURGICAL ASSISTANTS LLC

Practice address

14712 134TH CT NE
Woodinville, WA 98072-4615

Phone

(425) 327-7442

NPI assigned

Feb 24, 2010

Last updated

Jul 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Rick Harada, PANPI 1447276183

Title

Physician Assistant

Phone

(425) 327-7442

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Rick Harada, PA-C

  • Surgical Physician Assistant
  • Everett, WA
  • NPI 1447276183
  NPD (past) Authorized official
• Staci Bottles, RN, BSN, RNFA, CNOR

  • Registered Nurse First Assistant
  • Woodinville, WA
  • NPI 1437588340
  NPD (past)
• Robert Maxwell Hutchinson, P.A.-C

  • Physician Assistant
  • Everett, WA
  • NPI 1346293107
  NPD (past)

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1477875011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2656",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980722656",
            "telephone_number": "425-327-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14712 134TH CT NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724615",
            "telephone_number": "425-327-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND SURGICAL ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "HARADA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RICK",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "425-327-7442",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA10004021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447276183",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346293107",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Price, D.C.
• Prodigals International
• Proliance Surgeons, Inc., P.S. (Bellevue Ear Nose and Throat - Woodinville)
• Public Hospital District No 2 (Woodinville Urgent Care Evergreen Medical Group)
• Public Hospital District No 2 (Evergreen Medical Group Woodinville)
• Steven D. Pugh, STEVEN PUGH, PH.D.
• Karma Lisa Raad, LMT
• Alex Rabern, LMFT
• Sheri Radick, MS,LMHC
• Rae's Natural Therapy (Rae's Natural Therapy LLC)

• Surgical Physician Assistant in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Surgical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.