Organization Active NPI

Outpatient Anesthesia Services, PLLC

  • Anesthesiology Physician
  • Everett, WA
National Provider Identifier
1659458149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7119225MedicaidWA
8785OUOtherWAREGENCE GROUP PIN
0175855OtherWAL&I GROUP PIN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.