Active NPI
Seattle Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Seattle, WA
National Provider Identifier
1992497762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember 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.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1003876343
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
- Seattle Spine Institute PLLC
- Seattle Spine Institute PLLC
- Seattle Sport Rehabilitation and Performance
- Seattle Sports & Regenerative Medicine PLLC
- Seattle Sports Chiropractic & Physical Therapy
- Seattle Therapeutics PS
- Seattle Therapy and Counseling, PLLC
- Seattle Therapy Group, PLLC
- Seattle Therapy PLLC
- Seattle Therapy Practice, PLLC
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.