Puget Sound Gastroenterology, PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

PUGET SOUND GASTROENTEROLOGY, PLLC

Practice address

11800 NE 128TH St Ste 100
Kirkland, WA 98034-7208

Phone

(305) 468-4185

Fax

(305) 675-3378

NPI assigned

Jul 20, 2023

Last updated

May 16, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

PUGET SOUND GASTROENTEROLOGY, PLLCAs reported in NPPES

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

Authorized official

Name

Alan Oliver, CEO

Title

Ceo

Phone

(786) 530-3820

Specialties & licenses 1

Addresses

Other names 1

• NCPDP Pharmacy Other name

Tax ID family

Sea Gastroenterology As4 organizations share this tax ID, including this one

Part of

Sea Gastroenterology As

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Puget Sound Gastroenterology, PLLC

  • Gastroenterology Physician
  • Edmonds, WA
  • NPI 1366129132
  NPD tax ID
• Puget Sound Gastroenterology, PLLC

  • Gastroenterology Physician
  • Mill Creek, WA
  • NPI 1912929738
  NPD tax ID
• Puget Sound Gastroenterology, PLLC

  dba Tri-Cities Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Kennewick, WA
  • NPI 1952068298
  NPD tax ID

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1801576368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "305-468-4185",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 NE 128TH ST STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347208",
            "telephone_number": "305-468-4185",
            "fax_number": "305-675-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUGET SOUND GASTROENTEROLOGY, PLLC",
        "enumeration_date": "2023-07-20",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-530-3820",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCPDP Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NCPDP Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Public Hospital District No. 2
• Public Hospital District No. 2 (Evergreen Lab Svcs)
• Public Hosptial District No 2 (Evergreen Medical Group)
• Puget Sound Gastroenterology, PLLC (Puget Sound Gastroenterology at Kirkland)
• Puget Sound Gastroenterology, PLLC (Evergreen Endoscopy Center)
• Puget Sound Midwives Birth Center
• Puget Sound Plastic Surgery
• Jamie Marie Punzi, ND
• Molly Rose Putnam, MA, LMHC
• Patricia Eileen Putnam, MA, LMHC

• Non-Pharmacy Dispensing Site in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Non-Pharmacy Dispensing Site in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.