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PUGET SOUND GASTROENTEROLOGY PLLC NPI 1386615912


NPI Information

NPI: 1386615912
Provider Name: PUGET SOUND GASTROENTEROLOGY, PLLC

Doing Business As: FREMONT ENDOSCOPY CENTER

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

Specialization: Ambulatory Surgical

Address:
501 N 34TH ST
SUITE 101
SEATTLE, WA
ZIP 98103
Phone: (206) 838-1777
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PUGET SOUND GASTROENTEROLOGY, PLLC is an ambulatory surgical clinic center in Seattle, WA. PUGET SOUND GASTROENTEROLOGY, PLLC NPI is 1386615912. The provider is registered as an organization entity type.
The provider Is Doing Business As Fremont Endoscopy Center.

The provider's business location address is:

501 N 34TH ST
SUITE 101
SEATTLE, WA
ZIP 98103-645
Phone: (206) 838-1777
Fax: (206) 838-1771

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 12/13/2019.


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
11043958MEDICAIDWASHINGTON
20205564OTHERWASHINGTONLABOR AND 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: 4/28/2024

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