Southeast Urology, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTHEAST UROLOGY, LLC

Doing business as

Salmon Creek Surgery

Practice address

3225 Hospital Dr
Suite 102
Juneau, AK 99801-7863

Phone

(907) 500-9920

Fax

(253) 927-5472

NPI assigned

Apr 14, 2015

Organization subpart

No

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

Addresses

Other names 1

• Salmon Creek Surgery Doing business as

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJAAAA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Saltzman, MD

  • Urology Physician
  • Albany, OR
  • NPI 1912098880
  NPD (past)

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1558757765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 HOSPITAL DR",
            "address_2": "SUITE 102",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017863",
            "telephone_number": "907-500-9920",
            "fax_number": "253-927-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 HOSPITAL DR",
            "address_2": "SUITE 102",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017863",
            "telephone_number": "907-500-9920",
            "fax_number": "253-927-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "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": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salmon Creek Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeast Furniture Warehouse, Inc
• Southeast Psychiatry
• Southeast Radiology Consultants LLC
• Southeast Urgent Care Incorporated
• Southeast Urology LLC
• Brian Sparks
• Michael Sparks, MSW
• Andrew David Spence, LCSW
• Deborah Spencer
• Kristen Kathleen Spencer, MS ECSE

• Ambulatory Surgical Clinic/Center in Juneau, AK
• Providers in Juneau, AK by specialty
• Ambulatory Surgical Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.