Active NPI
Rainier Surgical Associates
Doing business as Rainier Ambulatory Surgery Center
- Podiatrist
- Enumclaw, WA
National Provider Identifier
1841860640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- RAINIER SURGICAL ASSOCIATES
- Doing business as
- Rainier Ambulatory Surgery Center
- Practice address
- 2820 Griffin Ave Ste 100
Enumclaw, WA 98022-2373 - Phone
- (360) 761-1285
- Fax
- (360) 761-1313
- NPI assigned
- Jun 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher David Bock, DPM
- Title
- Owner
- Phone
- (360) 761-1285
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
2820 Griffin Ave Ste 100
Enumclaw, WA 98022-2373
Mailing address
853 Watson St N Ste 100
Enumclaw, WA 98022-3948
Phone (360) 761-1285
Other names 1
- Rainier Ambulatory Surgery Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624579200000",
"number": "1841860640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 WATSON ST N STE 100",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980223948",
"telephone_number": "360-761-1285",
"fax_number": "360-761-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 GRIFFIN AVE STE 100",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980222373",
"telephone_number": "360-761-1285",
"fax_number": "360-761-1313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAINIER SURGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A",
"authorized_official_last_name": "BOCK",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-761-1285",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rainier Ambulatory Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Enumclaw, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.