Marina Park Plastics, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MARINA PARK PLASTICS, PLLC

Practice address

16 Central Way
Kirkland, WA 98033-6115

Phone

(425) 655-1200

Fax

(425) 655-1987

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Eileen Fay West

Title

Practice Administrator

Phone

(425) 655-1200

Specialties & licenses 1

Addresses

Other names 1

• Marina Park Plastics ASC Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Ambulatory surgical center certification: CCN 50C0001355

Legal name

Marina Park Plastics PLLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 2, 2026

Last certification

Jan 20, 2026

Facility address

16 Central Way
Kirkland, WA 98033

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Marina Park Plastics, PLLC

  • Medical Specialty Clinic/Center
  • Kirkland, WA
  • NPI 1225641152

  0345669248

  Same PAC ID

Tax ID family

Marina Park Plastics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Marina Park Plastics, PLLC

  • Medical Specialty Clinic/Center
  • Kirkland, WA
  • NPI 1225641152
  NPD tax ID

Locations

Practitioners 2

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

• Zachary Paul Joos, M.D.

  • Ophthalmology Physician
  • Kirkland, WA
  • NPI 1588954119
  Medicare reassignment NPD
• Bryan Charles McIntosh, M.D.

  • Plastic Surgery Physician
  • Bellevue, WA
  • NPI 1982862165
  NPD (past)

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1619756350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CENTRAL WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336115",
            "telephone_number": "425-655-1200",
            "fax_number": "425-655-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CENTRAL WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336115",
            "telephone_number": "425-655-1200",
            "fax_number": "425-655-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA PARK PLASTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "425-655-1200"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marina Park Plastics ASC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gerrie Margell
• Marianna Beetham, D.D.S., P.S.
• Angelika Mariano, RPH
• Aryana Maricle-Conroy
• Marina Park Plastics, PLLC
• Frank F Marinkovich, MD
• Mark G. Ochenrider, PLLC
• Mark J Cannon OD PS
• Mark J Pierce
• Jessica Marie Markel, PHARMD

• Ambulatory Surgical Clinic/Center in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.