Provider Type Icon

PUGET SOUND GASTROENTEROLOGY PLLC NPI 1720059348


NPI Information

NPI: 1720059348
Provider Name: PUGET SOUND GASTROENTEROLOGY, PLLC

Doing Business As: SEATTLE ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
11027 MERIDIAN AVE N
SUITE 100
SEATTLE, WA
ZIP 98133
Phone: (206) 365-4492
Get Directions

PUGET SOUND GASTROENTEROLOGY, PLLC is an ambulatory surgical clinic center in Seattle, WA. PUGET SOUND GASTROENTEROLOGY, PLLC NPI is 1720059348. The provider is registered as an organization entity type.
The provider Is Doing Business As Seattle Endoscopy Center.

The provider's business location address is:

11027 MERIDIAN AVE N
SUITE 100
SEATTLE, WA
ZIP 98133-705
Phone: (206) 365-4492
Fax: (206) 368-3456

The provider's authorized official is Eugenio J Hernandez .
The authorized official title is Manager and has the following contact phone number (786) 205-3464.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 12/9/2019.


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
1261QA1903XClinic/CenterAmbulatory Surgical600388519WASHINGTONYes

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
10108539OTHERWASHINGTONLABOR AND INDUSTRIES
21045389MEDICAIDWASHINGTON

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: 4/28/2024

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.