Puget Sound Otolaryngology Inc PS

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PUGET SOUND OTOLARYNGOLOGY INC PS

Doing business as

Puget Sound Surgicenter

Practice address

21616 76TH Ave W
#112
Edmonds, WA 98026-7512

Phone

(425) 775-6651

Fax

(425) 670-6718

NPI assigned

Oct 3, 2006

Last updated

Jan 4, 2008By 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

Ms. Maureen M Miller

Title

Office Manager

Phone

(425) 775-6651

Specialties & licenses 1

Addresses

Other names 1

• Puget Sound Surgicenter Doing business as

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1558455642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21616 76TH AVE W",
            "address_2": "#112",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267512",
            "telephone_number": "425-775-6651",
            "fax_number": "425-670-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21616 76TH AVE W",
            "address_2": "#112",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267512",
            "telephone_number": "425-775-6651",
            "fax_number": "425-670-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND OTOLARYNGOLOGY INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-775-6651",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puget Sound Surgicenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Puget Sound Gastroenterology, PLLC (Puget Sound Gastroenterology at Edmonds)
• Puget Sound Gastroenterology, PLLC
• Puget Sound Gastroenterology, PLLC (Edmonds Endoscopy Center)
• Puget Sound Medical Associates LLC
• Puget Sound Neurology
• Chetan Pungoti, MD
• Siera Victoria Purcell, M.T.
• Pursuing Potential
• Kristin Purvis
• Jared Putman, MA

• Otolaryngology Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Otolaryngology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.