Organization Active NPI

Seattle Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Seattle, WA
National Provider Identifier
1992497762
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SEATTLE SURGERY CENTER LLC
Practice address
900 Terry Ave FL 3
Seattle, WA 98104-4232
Phone
(206) 382-1021
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Lawrence Holland
Title
Manager
Phone
(206) 890-1511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

900 Terry Ave FL 3
Seattle, WA 98104-4232

Mailing address

900 Terry Ave FL 3
Seattle, WA 98104-4232
Phone (206) 382-1021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231004000567 WA Part B Supplier - Ambulatory Surgical Center 4880048248 Practice locations: Seattle, WA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Seattle Surgery Center LLCCCN 50C0001347
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

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

Locations

900 Terry Ave
Ste 3
Seattle, WA 98104

900 Terry Ave
#3
Seattle, WA 98104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1992497762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TERRY AVE FL 3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981044232",
            "telephone_number": "206-382-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TERRY AVE FL 3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981044232",
            "telephone_number": "206-382-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-890-1511"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.