Individual provider Active NPI

Quynh Phuong Le, D.O.

  • Surgical Oncology Physician
  • Bellingham, WA
National Provider Identifier
1588056568
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
OP61146099 Issued in WA
Practice address
2980 Squalicum Pkwy Ste 302
Bellingham, WA 98225-1880
Phone
(360) 788-8200
Fax
(360) 788-8329
NPI assigned
Feb 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 182190 AK
Surgery Physician 208600000X OP61146099 WA
Student in an Organized Health Care Education/Training Program 390200000X
Surgical Oncology Physician 2086X0206X OP61146099 WA Primary

Addresses

Primary practice location

2980 Squalicum Pkwy Ste 302
Bellingham, WA 98225-1880

Mailing address

1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 341-0060

Other practice location 1

1100 9th Ave
Seattle, WA 98101-2756
Phone (206) 341-0060

Other practice location 2

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 225-7346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210816002739 WA Practitioner - Surgical OncologyPractitioner - General SurgeryPractitioner - Other (Physician) 8729390281 Reassigns benefits to 4 organizations
I20241011000832 AK Practitioner - General Surgery 8729390281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

2980 Squalicum Pkwy
Suite 301
Bellingham, WA 98225-1880
Phone (360) 788-6112

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy28
Melanoma (skin cancer) excision23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Peacehealth Medical Group - Sedro Woolley CurrentSince Oct 3, 2024 Accepting new patients
Peacehealth Surgery CurrentSince Oct 20, 2024 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth Surgery CurrentSince Oct 3, 2024 Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

2980 Squalicum Pkwy
Ste 301
Bellingham, WA 98225
Phone (360) 671-4944

3015 Squalicum Pkwy
Ste 280
Bellingham, WA 98225
Phone (360) 671-2425

2980 Squalicum Pkwy
Ste 302
Bellingham, WA 98225
Phone (360) 788-8200

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

1990 Hospital Dr
Ste 100
Sedro Woolley, WA 98284
Phone (360) 856-4141

Interoperability endpoints

  • Direct secure messaging: qle664272@direct.peacehealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1588056568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-341-0060",
            "fax_number": "206-625-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 SQUALICUM PKWY STE 302",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251880",
            "telephone_number": "360-788-8200",
            "fax_number": "360-788-8329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012756",
            "country_code": "US",
            "telephone_number": "206-341-0060",
            "fax_number": "206-625-7245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-225-7346",
            "fax_number": "907-228-8325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "QUYNH",
        "middle_name": "PHUONG",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "182190",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "OP61146099",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "WA",
            "license": "OP61146099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.