Vasectomy Clinic PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

00016624 Issued in WA

Legal business name

VASECTOMY CLINIC PC

Practice address

5402 47TH Ave NE
Seattle, WA 98105-2927

Phone

(206) 525-4090

Fax

(206) 985-2875

NPI assigned

Jan 6, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Charles L Wilson, M.D.NPI 1376626309

Title

Owner

Phone

(206) 390-6406

Specialties & licenses 1

Addresses

Other names 1

• Vasectomy Clinic Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Charles L. Wilson, MD

  • Surgery Physician
  • Seattle, WA
  • NPI 1376626309
  NPD (past) Authorized official
• Kelly R. White, M.D.

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1528058542

  Surgery

  NPD (past)

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1689095903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 47TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052927",
            "telephone_number": "206-525-4090",
            "fax_number": "206-985-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 47TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052927",
            "telephone_number": "206-525-4090",
            "fax_number": "206-985-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASECTOMY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-390-6406",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "00016624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vasectomy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Vas, MSC, CGC
• Sujata Navin Vasani, M.D.
• Aekta Haren Vasavada
• Vascular & Surgical Care Northwest, PLLC
• Vascular Associates, PS
• Meganne Margaret Vasey, MD
• Daneshia C L Vashchenko
• Teresa E Vasicek, PA-C
• Maria Vasilyadis
• Heather J M Vasioutovitch, DNP, FNP

• Surgery Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.