WESTERN WASHINGTON ENDOSCOPY CENTERS LLC (NPI# 1790744175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790744175 |
Entity Type | Organization |
Organization Name | WESTERN WASHINGTON ENDOSCOPY CENTERS LLC |
Other Organization Name | PUYALLUP ENDOSCOPY CENTER |
Practice Address |
1703 S Meridian Suite 203 Puyallup WA 98371-7590 |
Mailing Address |
Po Box 2157 Tacoma WA 98401-2157 |
Practice Telephone | 2538413933 |
Practice Fax Number | 2538648412 |
Mailing Telephone | 2538413933 |
Mailing Fax Number | 2538648412 |
Enumeration Date | 2006-03-22 |
Last Update Date | 2013-04-17 |
Authorized Official Name | MR. PHILLIP A CLENDENIN (PRESIDENT) |
Authorized Official Telephone | 6156651283 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
CON 1301 REQUIRE | WA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 7137326 | 05 |
Other Name | Type Code |
---|---|
Puyallup Endoscopy Center | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992765986 | Western Washington Endoscopy Centers LLC | Clinic/Center | 3209 South 23rd St, 2nd Floor, Tacoma, WA 98405 | 2006-03-24 |
1427017813 | Western Washington Endoscopy Centers LLC | Clinic/Center | 2727 Hollycroft St, Suite 480, Gig Harbor, WA 98335-1305 | 2006-03-22 |
1982853271 | Western Washington Endoscopy Centers LLC | Clinic/Center | 11216 Sunrise Blvd E, Suite 201, Bldg 3, Puyallup, WA 98374-8848 | 2008-09-11 |
1891754271 | Western Washington Endoscopy Centers LLC | Clinic/Center | 34503 9th Ave S, Suite 240, Federal Way, WA 98003-8727 | 2006-03-22 |
Street Address |
1703 S MERIDIAN SUITE 203 |
City | PUYALLUP |
State | WA |
Zip Code | 98371-7590 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831168590 | Donella S Curcio | Physician Assistant | 1703 S Meridian, Ste 101, Puyallup, WA 98371-7590 | 2006-03-15 |
1306394598 | Nari Lee | Chiropractor | 1703 S Meridian, Suite 301, Puyallup, WA 98371-7590 | 2016-09-15 |
1629225024 | Erin S Seefeldt | Ophthalmology | 1703 S Meridian, Ste 101, Puyallup, WA 98371-7590 | 2008-08-27 |
1801057526 | Church Chiropractic Inc | Chiropractor | 1703 S Meridian, Suite 301, Puyallup, WA 98371-7590 | 2008-06-25 |
1598979213 | Julius Michaelson Jr. | Obstetrics & Gynecology | 1703 S Meridian, Suite 301, Puyallup, WA 98371-7590 | 2007-05-10 |
1801010053 | Abhishek Agarwal | Internal Medicine | 1703 S Meridian, Ste 305, Puyallup, WA 98371 | 2007-04-12 |
1396873246 | Steven Michael Brady | Ophthalmology | 1703 S Meridian, Suite 101, Puyallup, WA 98371-7590 | 2007-03-01 |
1699817346 | Cascade Eye & Skin Centers PC | Clinic/Center | 1703 S Meridian, Suite 101, Puyallup, WA 98371-7590 | 2007-02-12 |
1033204938 | Cascade Eye & Skin Centers P.C. | Dermatology | 1703 S Meridian, Suite 101, Puyallup, WA 98371 | 2006-10-04 |
1760587612 | Laurel R Harris | Ophthalmology | 1703 S Meridian, Suite 101, Puyallup, WA 98371-7590 | 2006-09-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
Find all providers in zip 98371 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104151562 | Ear Nose Throat & Plastic Surgery Associates of The South Sound Ps | Clinic/Center | 1609 S Meridian, Puyallup, WA 98371-7517 | 2009-10-02 |
1316175094 | Entpsa Puyallup Asc | Clinic/Center | 1609 S Meridian, Puyallup, WA 98371-7517 | 2009-07-01 |
1982853271 | Western Washington Endoscopy Centers LLC | Clinic/Center | 11216 Sunrise Blvd E, Suite 201, Bldg 3, Puyallup, WA 98374-8848 | 2008-09-11 |
1699817346 | Cascade Eye & Skin Centers PC | Clinic/Center | 1703 S Meridian, Suite 101, Puyallup, WA 98371-7590 | 2007-02-12 |
1215082557 | Auburn Outpatient Surgery Center, LLC | Clinic/Center | 208 17th Ave Se, Suite 202, Puyallup, WA 98372-4515 | 2007-01-25 |
1083622112 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 1519 3rd St Se, Suite 240, Puyallup, WA 98372-3742 | 2006-08-04 |
1780610220 | Proliance Surgeons Inc Ps | Clinic/Center | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-25 |
1972565745 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 3801 5th St Se, Suite 210, Puyallup, WA 98374-2106 | 2006-04-05 |
1275510141 | Neospine Puyallup Spine Center, LLC | Clinic/Center | 1519 3rd St Se, Suite 102, Puyallup, WA 98372-3742 | 2005-12-30 |
1841286101 | Good Samaritan Surgery Center LLC | Clinic/Center | 1322 3rd St Se, 100, Puyallup, WA 98372-3771 | 2005-09-22 |
Find all providers in PUYALLUP |
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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.