Organization Active NPI

Vascular Associates, PS

  • Vascular Surgery Physician
  • Seattle, WA
National Provider Identifier
1891986097
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
117057 Issued in WA
Legal business name
VASCULAR ASSOCIATES, PS
Practice address
801 Broadway Ste 522
Seattle, WA 98122-4325
Phone
(206) 682-6087
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Roman Wong, M.D.
Title
President
Phone
(206) 682-6087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 117057 WA Primary

Addresses

Primary practice location

801 Broadway Ste 522
Seattle, WA 98122-4325

Mailing address

801 Broadway Ste 522
Seattle, WA 98122-4325
Phone (206) 682-6087

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1891986097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BROADWAY STE 522",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224325",
            "telephone_number": "206-682-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY STE 522",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224325",
            "telephone_number": "206-682-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR ASSOCIATES, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-682-6087",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "117057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.