Harbor Surgical Associates, Inc., P.S.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD00010490 Issued in WA

Legal business name

HARBOR SURGICAL ASSOCIATES, INC., P.S.

Practice address

1006 N H St
5TH Floor
Aberdeen, WA 98520-2521

Phone

(360) 537-6414

Fax

(360) 532-6878

NPI assigned

Mar 17, 2006

Organization subpart

Yes

Parent organization

HARBOR SURGICAL ASSOCIATES INC PSAs reported in NPPES

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

Authorized official

Name

Dr. Juris M Macs, M. D.

Title

President

Phone

(360) 537-6414

Specialties & licenses 1

Addresses

Other identifiers 12

Part of

Harbor Surgical Associates

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1528027737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N H ST",
            "address_2": "5TH FLOOR",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202521",
            "telephone_number": "360-537-6414",
            "fax_number": "360-532-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 N H ST",
            "address_2": "5TH FLOOR",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202521",
            "telephone_number": "360-537-6414",
            "fax_number": "360-532-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR SURGICAL ASSOCIATES, INC., P.S.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBOR SURGICAL ASSOCIATES INC PS",
        "enumeration_date": "2006-03-17",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "MACS",
        "authorized_official_first_name": "JURIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-537-6414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00010490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PROVIDER",
            "identifier": "022161238",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "000800078",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7077316",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8914472",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A0003",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LI PROVIDER NUMBER",
            "identifier": "0012648",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "335846100",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LI GROUP NUMBER",
            "identifier": "0154469",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "115141600",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC4850",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532605",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY",
            "identifier": "MA1607",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Aberdeen, WA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.