Active NPI
Outpatient Anesthesia Services, PLLC
- Anesthesiology Physician
- Everett, WA
National Provider Identifier
1659458149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- OUTPATIENT ANESTHESIA SERVICES, PLLC
- Practice address
- 1100 Pacific Ave
Suite 100
Everett, WA 98201-4261 - Phone
- (425) 339-2433
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael P Flacco, M.D.
- Title
- Provider Designee
- Phone
- (206) 244-1212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
1100 Pacific Ave
Suite 100
Everett, WA 98201-4261
Mailing address
PO Box 5908
Bellevue, WA 98006-0408
Phone (206) 244-1212
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7119225 | Medicaid | WA | |
| 8785OU | Other | WA | REGENCE GROUP PIN |
| 0175855 | Other | WA | L&I GROUP PIN |
National Provider Directory
National Provider DirectoryLocations
1100 Madison St
Ste 1101
Seattle, WA 98104
Phone (206) 467-1101
1100 Madison St
Ste 1101
Seattle, WA 98104
Phone (206) 467-1101
1101 Madison St
Ste 110
Seattle, WA 98104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659458149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5908",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980060408",
"telephone_number": "206-244-1212",
"fax_number": "206-244-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 PACIFIC AVE",
"address_2": "SUITE 100",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014261",
"telephone_number": "425-339-2433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUTPATIENT ANESTHESIA SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FLACCO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PROVIDER DESIGNEE",
"authorized_official_telephone_number": "206-244-1212",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7119225",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE GROUP PIN",
"identifier": "8785OU",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I GROUP PIN",
"identifier": "0175855",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.