SOUTH SOUND NEUROSURGERY PLLC (NPI# 1174799282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174799282 |
| Entity Type | Organization |
| Organization Name | SOUTH SOUND NEUROSURGERY PLLC |
| Other Organization Name | PRECISION IMAGING |
| Practice Address |
1519 3rd St Se Suite 103 Puyallup WA 98372-3742 |
| Practice Telephone | 2538418939 |
| Mailing Telephone | 2538418939 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | MR. HIROSHI NAKANO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2538418939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WASHINGTON STATE DEPT. OF LABOR AND INDUSTRIES | 0164168 | 01 |
| Other Name | Type Code |
|---|---|
| Precision Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417992389 | South Sound Neurosurgery Pllc | Neurological Surgery | 1519 3rd St Se, Suite 101, Puyallup, WA 98372-3742 | 2006-06-17 |
| Street Address |
1519 3RD ST SE SUITE 103 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831176999 | Helene Susan Dehaan | Nurse Practitioner | 1519 3rd St Se, Suite 101, Puyallup, WA 98372-3742 | 2005-12-29 |
| 1053764522 | Yarrow J. Mcconnell | Surgery | 1519 3rd St Se, Suite 230, Puyallup, WA 98372-3742 | 2016-07-19 |
| 1437443348 | Ryan J Street | Urology | 1519 3rd St Se, Suite 210, Puyallup, WA 98372-3742 | 2011-06-08 |
| 1417257668 | Eugenia Byrne | Nurse Practitioner | 1519 3rd St Se, Suite 101, Puyallup, WA 98372-3742 | 2010-10-21 |
| 1730331240 | Brent Sissom | Radiologic Technologist | 1519 3rd St Se, Suite 103, Puyallup, WA 98372-3742 | 2008-10-15 |
| 1003094889 | Gregory Ryan Lamberton | Urology | 1519 3rd St Se, Ste 210, Puyallup, WA 98372-3724 | 2008-02-04 |
| 1801098405 | Robin Yune Lee | Urology | 1519 3rd St Se, Suite 210, Puyallup, WA 98372-3742 | 2007-06-05 |
| 1104048594 | Partner Oncology Inc | Clinic/Center | 1519 3rd St Se, Suite 260, Puyallup, WA 98372 | 2007-05-03 |
| 1235261884 | Apple Physical Therapy Ps | Durable Medical Equipment & Medical Supplies | 1519 3rd St Se, Suite 104, Puyallup, WA 98372-3742 | 2007-03-09 |
| 1417027681 | Candy Nelson | Physical Therapist | 1519 3rd St Se, Suite 104, Puyallup, WA 98372-3742 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952399123 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982653952 | Capital Imaging LLC | Clinic/Center | 220 Sw 43rd St, Renton, WA 98055-4936 | 2006-05-08 |
| 1710980511 | Open Mri of Federal Way, L.L.C. | Clinic/Center | 33301 9th Ave S, Ste 105, Federal Way, WA 98003-2600 | 2005-05-24 |
| 1588899173 | Dynamic Medical Diagnostic Imaging Centers, LLC | Clinic/Center | 5038 Tacoma Mall Blvd, Suite C, Tacoma, WA 98409-7103 | 2009-05-26 |
| 1891946257 | Olympia Neurology, Pllc | Clinic/Center | 128 Lilly Rd Ne, Suite 101, Olympia, WA 98506-7400 | 2008-10-03 |
| 1619127206 | Olympia Orthopaedic Associates, Pllc | Clinic/Center | 3901 Capital Mall Dr Sw, Ste C, Olympia, WA 98502-8654 | 2008-09-19 |
| 1467666701 | Objective Diagnostics & Research Ps | Clinic/Center | 4803 Center St, Tacoma, WA 98409-2319 | 2007-05-09 |
| 1013071877 | Cascade Imaging Associates L.L.C. | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-12-19 |
| 1932262904 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 27005 168th Pl Se, Suite 201, Covington, WA 98042-4902 | 2006-12-19 |
| 1164586921 | Advanced Imaging Northwest, LLC | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-12-19 |
| 1700833357 | The Doctors Clinic A Professional Corporation | Clinic/Center | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2006-05-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.