Organization Active NPI

Rainier Surgical Associates

Doing business as Rainier Ambulatory Surgery Center

  • Podiatrist
  • Enumclaw, WA
National Provider Identifier
1841860640
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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

Updated by the provider on Jun 25, 2021

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)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.