SURGICAL ASSOCIATES OF EDMONDS
NPI 1134169931
Surgery - Vascular Surgery in Seattle, WA

NPI Status: Active since June 08, 2006

Contact Information

1600 E JEFFERSON ST
SUITE 101
SEATTLE, WA
ZIP 98122
Phone: (206) 328-0100
Fax: (206) 320-2102

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  • Organization
  • Surgery
  • Vascular Surgery

About SURGICAL ASSOCIATES OF EDMONDS

This page provides the complete NPI Profile along with additional information for Surgical Associates Of Edmonds, a provider established in Seattle, Washington operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1134169931 assigned on June 2006. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Surgical Associates Of Edmonds. The authorized official of this NPI record is Mr. David G Fitzgerald (Claims Manager)

NPI
1134169931
Provider Legal Name
PROLIANCE SURGEONS INC., P.S.
Other Organization Name
SURGICAL ASSOCIATES OF EDMONDS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1600 E JEFFERSON ST SUITE 101 SEATTLE, WA 98122
Location Phone
(206) 328-0100
Location Fax
(206) 320-2102
Mailing Address
720 OLIVE WAY SUITE 1505 SEATTLE, WA 98101
Mailing Phone
(206) 838-2590
Mailing Fax
(206) 320-2102
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License State
WA
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID G FITZGERALD

Authorized Official Title
CLAIMS MANAGER
Authorized Official Phone
(206) 838-2599

Reviews for SURGICAL ASSOCIATES OF EDMONDS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134169931
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164261896
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 6 + 1 + 8 + 9 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1134169931 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568464154DR. GLENN REID BARNHART MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1600 E JEFFERSON ST STE 110
SEATTLE, WA 98122
(206) 320-7300
1063480655DR. PETER J CASTERELLA M.D.
Individual
Internal Medicine (Cardiovascular Disease)1600 E JEFFERSON ST 610
SEATTLE, WA 98122
(206) 320-5391
1083674683 JAMES C WATSON M.D.
Individual
Surgery (Vascular Surgery)1600 E JEFFERSON ST SUITE 101
SEATTLE, WA 98122
(206) 329-1760
1750336913DR. MARVIN M BROOKE MD
Individual
Physical Medicine & Rehabilitation1600 E JEFFERSON ST STE A4
SEATTLE, WA 98122
(206) 302-7747
1982646394 BETTY J MOSLEY RN
Individual
Nurse Practitioner1600 E JEFFERSON ST STE 400
SEATTLE, WA 98122
(206) 323-1900
1144262676 JEANINE THERESE GODEC PAC
Individual
Physician Assistant (Medical)1600 E JEFFERSON ST STE 400
SEATTLE, WA 98122
(206) 323-1900
1922034743 JEFFREY FERNANDEZ PAC
Individual
Physician Assistant (Medical)1600 E JEFFERSON ST STE 400
SEATTLE, WA 98122
(206) 323-1900
1225068182 STEVEN P WEINREICH PA
Individual
Physician Assistant (Surgical)1600 E JEFFERSON ST SUITE 110
SEATTLE, WA 98122
(206) 320-7300
1770505364 TRACI REE PAC
Individual
Physician Assistant (Surgical)1600 E JEFFERSON ST SUITE 110
SEATTLE, WA 98122
(206) 320-7300
1134134513DR. MARY EILEEN STRETCH ND
Individual
Naturopath1600 E JEFFERSON ST SUITE 603
SEATTLE, WA 98122
(206) 726-0034
1578573168 JOSEPH F TEPLY MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1600 E JEFFERSON ST STE 110
SEATTLE, WA 98122
(206) 320-7300
1164432605 DEV R MANHAS MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1600 E JEFFERSON ST STE 110
SEATTLE, WA 98122
(206) 320-7300
1528173424 MARY ROSE ANNE CUNNINGHAM MD
Individual
Orthopaedic Surgery1600 E JEFFERSON ST SUITE 400
SEATTLE, WA 98122
(206) 323-1900
1962543363MS. JENNIFER L LEIS MPT
Individual
Physical Therapist1600 E JEFFERSON ST SUITE A-5
SEATTLE, WA 98122
(206) 320-2404
1952443830MS. KIMBERLY M. KOBATA PT
Individual
Physical Therapist1600 E JEFFERSON ST
SEATTLE, WA 98122
(206) 320-2387
1750424370 ANTHONY HALBEISEN PT
Individual
Physical Therapist (Orthopedic)1600 E JEFFERSON ST SUITE A-5
SEATTLE, WA 98122
(206) 320-2404
1932242666 CHRISTINE MARIE COYLE OLIVER PT, CMPT
Individual
Physical Therapist1600 E JEFFERSON ST SUITE A-5
SEATTLE, WA 98122
(206) 320-8078
1790801801PROVIDENCE AUDIOLOGY
Organization
Specialist1600 E JEFFERSON ST SUITE 202
SEATTLE, WA 98122
(206) 320-5687
1215133426MS. MARY GOODMAN PT
Individual
Specialist1600 E JEFFERSON ST SUITE A5
SEATTLE, WA 98122
(206) 320-2404
1740469204DR. JANCI LYNNE KARP N.D., LAC,, LMP
Individual
Naturopath1600 E JEFFERSON ST SUITE 603
SEATTLE, WA 98122
(206) 726-0034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134169931, enumerated in the NPI registry as an "organization" on June 08, 2006

The provider is located at 1600 E Jefferson St Suite 101 Seattle, Wa 98122 and the phone number is (206) 328-0100

This medical organization specializes in Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery

This NPI record was last updated on June 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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