Active NPI
Surgical Associates NW
- Specialist
- Federal Way, WA
National Provider Identifier
1871777201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SURGICAL ASSOCIATES NW
- Practice address
- 34612 6TH Ave S
Suite 110
Federal Way, WA 98003-8723 - Phone
- (253) 661-2594
- Fax
- (253) 661-2694
- NPI assigned
- Dec 20, 2007
- 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
- Pam Stanfill
- Title
- Office Manager
- Phone
- (253) 661-2594
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
34612 6TH Ave S
Suite 110
Federal Way, WA 98003-8723
Mailing address
34612 6TH Ave S
Suite 110
Federal Way, WA 98003-8723
Phone (253) 661-2594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7125081 | Medicaid | WA |
National Provider Directory
National Provider Directory- Tax ID family
- Surgical Associates Northwest PC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Physician
- Federal Way, WA
- NPI 1427128198
-
- Otolaryngology/Facial Plastic Surgery Physician
- Auburn, WA
- NPI 1770564783
-
- Ambulatory Surgical Clinic/Center
- Federal Way, WA
- NPI 1629016555
-
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1831455765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720742400000",
"number": "1871777201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34612 6TH AVE S",
"address_2": "SUITE 110",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038723",
"telephone_number": "253-661-2594",
"fax_number": "253-661-2694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34612 6TH AVE S",
"address_2": "SUITE 110",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038723",
"telephone_number": "253-661-2594",
"fax_number": "253-661-2694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL ASSOCIATES NW",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-20",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A",
"authorized_official_last_name": "STANFILL",
"authorized_official_first_name": "PAM",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "253-661-2594"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7125081",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.