SW Seattle Ambulatory Surgery, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SW SEATTLE AMBULATORY SURGERY, LLC

Doing business as

Southwest Seattle Surgery Center

Practice address

275 SW 160TH St
Suite 200
Burien, WA 98166-3003

Phone

(206) 988-0927

Fax

(206) 988-0921

NPI assigned

Apr 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Lombardi, MD

Title

Managing Partner

Phone

(206) 243-1100

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Southwest Seattle Surgery Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William L Clark, M.D.

  • Orthopaedic Surgery Physician
  • Burien, WA
  • NPI 1841293511
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902868797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985310960",
            "telephone_number": "360-736-0928",
            "fax_number": "360-736-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SW 160TH ST",
            "address_2": "SUITE 200",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663003",
            "telephone_number": "206-988-0927",
            "fax_number": "206-988-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW SEATTLE AMBULATORY SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOMBARDI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "206-243-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "0184811",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS L&I",
            "identifier": "8930918",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7123623",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "9788SO",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Seattle Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen Summers, RN
• Cecelia Frances Sun, SLP
• Kumara Raja Sundar, M.D
• Bridget Sung, PHARM.D
• Brenda Kay Sutherland, LMP
• Julia Ann Keeler Swanson, MD
• Alexandra Swart, MAED, LMHCA
• Jessica D. Swart, RN
• Kathryn Ann Marie Sweeney, BCBA
• Judy Cash Szpak, MA MHP

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