MR. SAMUEL RICH PA-C NPI 1265949804

NPI Information

NPI: 1265949804
Provider Name: MR. SAMUEL RICH, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: PROLIANCE SURGEONS INC PS

PECOS Registration: Yes

Address:
12911 120TH AVE NE STE H210
KIRKLAND, WA
ZIP 98034
Phone: (425) 823-4000
Get Directions

MR. Samuel Rich, PA-C is a surgical physician assistant in Kirkland, WA with 7 years of experience. MR. Samuel Rich, PA-C NPI is 1265949804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12911 120TH AVE NE STE H210
KIRKLAND, WA
ZIP 98034-065
Phone: (425) 823-4000
Fax: (425) 821-3550

The NPI 1265949804 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/4/2018 and was last updated on 12/10/2021.

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
1	363A00000X	Physician Assistant				No
2	363AS0400X	Physician Assistant	Surgical			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2095287	MEDICAID	WASHINGTON
2	443554	OTHER	WASHINGTON	WA LABOR & INDUSTRIES

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

NPI Synchronization or Removal

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