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SURGICAL ASSOCIATES NORTHWEST P.C. NPI 1427128198


NPI Information

NPI: 1427128198
Provider Name: SURGICAL ASSOCIATES NORTHWEST, P.C.
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

CLIA Number: 50D0629008

Address:
34612 6TH AVE S STE 210
FEDERAL WAY, WA
ZIP 98003
Phone: (253) 661-2594
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SURGICAL ASSOCIATES NORTHWEST, P.C. is an otolaryngology/facial plastic surgery otolaryngology in Federal Way, WA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. SURGICAL ASSOCIATES NORTHWEST, P.C. NPI is 1427128198. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

34612 6TH AVE S STE 210
FEDERAL WAY, WA
ZIP 98003-723
Phone: (253) 661-2594
Fax: (253) 661-2694

The provider's authorized official is Pam Stanfill .
The authorized official title is Office Manager and has the following contact phone number (253) 661-2591.

The CLIA number assigned to this NPI record is 50D0629008 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyNo
2207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryYes
3208800000XUrologyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17125081MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.