Surgical Associates Northwest, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICAL ASSOCIATES NORTHWEST, PC

Doing business as

Rainier Surgical Center

Practice address

34612 6TH Ave S
Suite 100
Federal Way, WA 98003-6704

Phone

(253) 661-2594

NPI assigned

Jun 3, 2006

Last updated

Jul 12, 2024By 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

Pamela Stanfill

Title

Billing Manager

Phone

(253) 661-2594

Specialties & licenses 2

Addresses

Other names 1

• RAINIER SURGICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Surgical Associates Northwest, P.C.

  • Urology Physician
  • Federal Way, WA
  • NPI 1427128198

  3971596024

  Same PAC ID

Listed as

Rainier Surgical CenterCCN 50C0001253

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Surgical Associates Northwest PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Surgical Associates Northwest, P.C.

  • Urology Physician
  • Federal Way, WA
  • NPI 1427128198
  NPD tax ID
• Surgical Associates Northwest, P.C.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Auburn, WA
  • NPI 1770564783
  NPD tax ID
• Surgical Associates NW

  • Specialist
  • Federal Way, WA
  • NPI 1871777201
  NPD tax ID
• Surgical Assoicates Northwest

  dba SANW Pathology

  • Clinical Medical Laboratory
  • Federal Way, WA
  • NPI 1831455765
  NPD tax ID

Locations

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Johnston, MD

  • Urology Physician
  • Tacoma, WA
  • NPI 1477839066
  Medicare reassignment NPD
• Shane Selassie Anderson, MD PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Seattle, WA
  • NPI 1952383432
  NPD
• Joseph Andrew Bellairs

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Federal Way, WA
  • NPI 1275064354
  NPD
• Anthony Paul Caruso, MD

  • Urology Physician
  • Federal Way, WA
  • NPI 1013913938
  NPD
• Lachelle Naliese Drollman, NP

  • Family Nurse Practitioner
  • Federal Way, WA
  • NPI 1891091401
  NPD
• Mark B Emery, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Federal Way, WA
  • NPI 1699716233
  NPD
• Ken Haberman, MD

  • Urology Physician
  • Federal Way, WA
  • NPI 1225290489
  NPD
• Mark D Hegewald, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Federal Way, WA
  • NPI 1700825304
  NPD
• Henedine Clark Hernando, ARNP

  • Family Nurse Practitioner
  • Tacoma, WA
  • NPI 1649453234
  NPD
• Dick L. Hoistad, M.D.

  • Otolaryngology Physician
  • Federal Way, WA
  • NPI 1770550923
  NPD
• David Michael Johnson, MD

  • Otolaryngology Physician
  • Federal Way, WA
  • NPI 1568704963
  NPD
• Stephen Haim King, MD

  • Urology Physician
  • Federal Way, WA
  • NPI 1891897468
  NPD

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1629016555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34612 6TH AVE S",
            "address_2": "SUITE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036704",
            "telephone_number": "253-661-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34612 6TH AVE S",
            "address_2": "SUITE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036704",
            "telephone_number": "253-661-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES NORTHWEST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "STANFILL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "253-661-2594"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "MD00013065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINIER SURGICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Supplemental Health Care
• Supplemental Healthcare
• Henry Surbeck, DDS
• Surewellness Health Services Inc
• Surgical Associates Northwest, P.C.
• Surgical Associates NW
• Surgical Assoicates Northwest (SANW Pathology)
• Hilary Suthers
• Alex Sutton, D.D.S.
• Joseph A Sutton, PA-C

• Ambulatory Surgical Clinic/Center in Federal Way, WA
• Providers in Federal Way, 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 Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.