Good Samaritan Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GOOD SAMARITAN SURGERY CENTER LLC

Practice address

1322 3Rd St SE
100
Puyallup, WA 98372-3771

Phone

(253) 697-5700

Fax

(253) 840-2352

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Glenn Kasman

Title

Administrator

Phone

(253) 697-2074

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841286101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 3RD ST SE",
            "address_2": "100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723771",
            "telephone_number": "253-697-5700",
            "fax_number": "253-840-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 3RD ST SE",
            "address_2": "100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723771",
            "telephone_number": "253-697-5700",
            "fax_number": "253-840-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KASMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-697-2074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7030638",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Night Medical of Washington, Inc.
• Good Samaritan Community Healthcare
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Outreach Services
• Marc William Goodboy, PA-C
• Chelsi Goodman, MD
• Jonathan Clarke Goodman, LMHC, MHP, NCC
• Jill Rita Goodrich, MBA OTR/L
• Angela Gordon, LMT

• Ambulatory Surgical Clinic/Center in Puyallup, WA
• Providers in Puyallup, 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 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.