OPTUM CARE WASHINGTON PLLC NPI 1154318103

NPI Information

  • NPI: 1154318103
  • Provider Name: OPTUM CARE WASHINGTON PLLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Other Name: OPTUM - KEMP SURGERY CENTER
  • Address: 3927 RUCKER AVE
    SUITE101
    EVERETT, WA
    ZIP 98201
  • Phone: (425) 317-3950

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NPI Details

OPTUM CARE WASHINGTON PLLC is an ambulatory surgical clinic center in Everett, WA. OPTUM CARE WASHINGTON PLLC NPI is 1154318103. The provider is registered as an organization entity type.
The provider Other Name Is Optum - Kemp Surgery Center.

The provider's business location address is:

3927 RUCKER AVE
SUITE101
EVERETT, WA
ZIP 98201-833
Phone: (425) 317-3950

The provider's authorized official is George Go .
The authorized official title is Board President and has the following contact phone number (425) 259-0966.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Removal of large bowel tissue using a flexible endoscope (HCPCS:45390)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Repair of groin hernia using an endoscope (HCPCS:49650)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less (HCPCS:15220)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less (HCPCS:15240)
  • Removal of growth of tendon finger or hand (HCPCS:26160)

The enumeration date for this NPI number is 10/4/2005 and was last updated on 4/8/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes
2332B00000XDurable Medical Equipment & Medical SuppliesNo

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: 11/21/2025

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