Organization Active NPI

Bariatric Surgery Clinic Trust

  • Surgery Physician
  • Seattle, WA
National Provider Identifier
1679754139
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BARIATRIC SURGERY CLINIC TRUST
Doing business as
SEATTLE PACIFIC SURGEONS/NICOLE WHITE/BENJAMIN LERNER/TERENCE QUIGLEY
Practice address
1560 N 115TH St
Suite 102
Seattle, WA 98133-8414
Phone
(206) 368-1070
Fax
(206) 363-4172
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Mr. Charles W Schneider
Title
Ceo
Phone
(206) 368-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1560 N 115TH St
Suite 102
Seattle, WA 98133-8414

Mailing address

1560 N 115TH St
Suite 102
Seattle, WA 98133-8414
Phone (206) 368-1070

Other identifiers 1

IdentifierTypeStateIssuer
MD00043626OtherMEDIC AL LICENSE

Other names 1

  • SEATTLE PACIFIC SURGEONS/NICOLE WHITE/BENJAMIN LERNER/TERENCE QUIGLEY Doing business as

National Provider Directory

National Provider Directory

Locations

1560 N 115th St
Ste 102
Seattle, WA 98133
Phone (206) 363-2882

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1679754139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 N 115TH ST",
            "address_2": "SUITE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338414",
            "telephone_number": "206-368-1070",
            "fax_number": "206-363-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N 115TH ST",
            "address_2": "SUITE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338414",
            "telephone_number": "206-368-1070",
            "fax_number": "206-363-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIATRIC SURGERY CLINIC TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-368-1700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIC AL LICENSE",
            "identifier": "MD00043626",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEATTLE PACIFIC SURGEONS/NICOLE WHITE/BENJAMIN LERNER/TERENCE QUIGLEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.