VP Surgery Center of Auburn LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

603173594 Issued in WA

Legal business name

VP SURGERY CENTER OF AUBURN LLC

Practice address

1002 15TH St SW Ste 215
Auburn, WA 98001-6502

Phone

(253) 736-6600

Fax

(253) 736-6601

NPI assigned

Dec 11, 2013

Last updated

Jun 30, 2014By 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

Melodie Wilson

Title

Manager

Phone

(360) 736-0928

Specialties & licenses 1

Addresses

Listed as

VP Surgery Center of AuburnCCN 50C0001214

Medicare certification status

Terminated Voluntary: other reason for withdrawal, May 22, 2023From the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Multicare Health System

  dba Mary Bridge Pediatric Psychology Services

  • Prescribing (Medical) Psychologist
  • Tacoma, WA
  • NPI 1104045988

  Member Of

  NPD member

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1932530284",
    "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": "1002 15TH ST SW STE 215",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980016502",
            "telephone_number": "253-736-6600",
            "fax_number": "253-736-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VP SURGERY CENTER OF AUBURN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-736-0928"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "603173594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoya Volkova, MD
• Stephanie Elizabeth Voltaire, RN
• Voto Health Care, Inc.
• Voto Healthcare, Inc.
• Mary Joanne Vowels, LMP
• Quang My Vu, PHARMACIST
• Barbie Jo Marie Wagner
• James Martin Wagner, M.D.
• Vicki Lynn Wagner
• Richard C. Wahlgren, M-PT

• Ambulatory Surgical Clinic/Center in Auburn, WA
• Providers in Auburn, 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 Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.