GH Edmonds Endoscopy Center Sub LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GH EDMONDS ENDOSCOPY CENTER SUB LLC

Practice address

21600 Highway 99 Ste 260
Edmonds, WA 98026-8049

Phone

(469) 872-4706

NPI assigned

Jan 9, 2025

Organization subpart

No

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

Authorized official

Name

Eric Boon

Title

Authorized Official

Phone

(480) 567-0269

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Puget Sound Gastroenterology, PLLC

  • Gastroenterology Physician
  • Edmonds, WA
  • NPI 1033132956

  Member Of

  NPD member

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1750191029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 HIGHWAY 99 STE 260",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 HIGHWAY 99 STE 260",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268049",
            "telephone_number": "469-872-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GH EDMONDS ENDOSCOPY CENTER SUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "BOON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-567-0269"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Frohman Geiger, ARNP
• Lynden M Gellner, LMHCA
• Generations Mental Health and Wellness PLLC
• George Paris PLLC
• Kathryn George, ARNP
• Zainab Ghalib
• Aarati Ghimire
• Louis P. Gianutsos, MD
• Milinda Marie Gibble
• Julie McCoy Gibson, L.M.P.

• Ambulatory Surgical Clinic/Center in Edmonds, WA
• Providers in Edmonds, 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 Feb 27, 2026; 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.