SOUTH SOUND SURGICAL ASSOCIATES
NPI 1639261258
Surgery - Vascular Surgery in Olympia, WA
NPI Status: Active since September 29, 2006
Contact Information
3900 CAPITAL MALL DR SW
OLYMPIA, WA
ZIP 98502
Phone: (360) 754-5858
- Organization
- Surgery
- Vascular Surgery
- Accepts Insurance
About SOUTH SOUND SURGICAL ASSOCIATES
This page provides the complete NPI Profile along with additional information for South Sound Surgical Associates, a provider established in Olympia, Washington operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1639261258 assigned on September 2006. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 2 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 authorized official of this NPI record is Dr. David Fj Tollefson Md (Managing Partner)
- NPI
- 1639261258
- Provider Name
- SOUTH SOUND SURGICAL ASSOCIATES
- Entity Type
- Organization
- Location Address
- 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502
- Location Phone
- (360) 754-5858
- Mailing Address
- 5130 PATTISON LAKE LN SE OLYMPIA, WA 98513
- Mailing Phone
- (360) 280-6612
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-29-2006
- Last Update Date
- 11-01-2023
- Code Navigator
Location Map
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
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 601814468 (WA) |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7085947 | MEDICAID (05) | WA | |
| 115566 | OTHER (01) | WA | LABOR AND INDUSTRIES |
Reviews for SOUTH SOUND SURGICAL ASSOCIATES
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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. | |||||||||
| 1 | 6 | 3 | 9 | 2 | 6 | 1 | 2 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 4 | 6 | 2 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 4 + 6 + 2 + 2 + 1 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1639261258 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1154586576 | MRS. JANET ELAINE SCHADE MS, RPH Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 956-3547 |
| 1932338878 | INTERVENTIONAL REHABILITATION OF WASHINGTON, PC Organization | Anesthesiology | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 956-2563 |
| 1841528023 | AN LE PHARMD Individual | Pharmacist | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 956-2543 |
| 1396830220 | JOHN T KARPEL MD Individual | Pediatrics | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 754-5858 |
| 1790049070 | NATALLIA F TSESLIUKEVICH M.D Individual | Internal Medicine | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 754-5858 |
| 1891164042 | MR. CHRISTOPHER ROBERT WHITE PTA Individual | Physical Therapy Assistant | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 754-5858 |
| 1023411717 | DANIEL G NG PHARMD Individual | Pharmacist | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 956-2543 |
| 1700272028 | DR. PRATHYUSHA NAIDU D.O Individual | Internal Medicine | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 704-4743 |
| 1992709604 | DR. GARY LEE WOOD MD Individual | Radiology (Diagnostic Radiology) | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 754-5858 |
| 1790337558 | KATHARINE CONLEY Individual | Nurse Anesthetist, Certified Registered | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 754-5858 |
| 1144644345 | DR. ASHOK JAMES PONNIAH D.O. Individual | Internal Medicine | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 704-4743 |
| 1104246388 | ALTA BLANCHE KENDALL ARNP NNP-BC Individual | Nurse Practitioner (Neonatal) | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 704-4743 |
| 1699319897 | KYLE THOMPSON RN, RNFA, CNOR Individual | Registered Nurse (Registered Nurse First Assistant) | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 754-5858 |
| 1629612544 | ASSURED SURGICAL ASSISTING LLC Organization | Registered Nurse (Registered Nurse First Assistant) | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 754-5858 |
| 1992325377 | LINDSAY KATE RIOS CNA Individual | Nurse's Aide | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 754-5858 |
| 1487690517 | COLUMBIA CAPITAL MEDICAL CENTER Organization | General Acute Care Hospital | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 754-5858 |
| 1033685854 | KIMBERLY LOWE Individual | Pharmacist | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 706-6495 |
| 1841258639 | MULTICARE HEALTH SYSTEM Organization | General Acute Care Hospital | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 754-5858 |
| 1386365963 | KATHERINE A EGGERS CRNA Individual | Nurse Anesthetist, Certified Registered | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 754-5858 |
| 1023105764 | DR. KIRSTEN ERICA REDBORG M.D. Individual | Anesthesiology | 3900 CAPITAL MALL DR SW OLYMPIA, WA 98502 (360) 706-6212 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639261258, enumerated in the NPI registry as an "organization" on September 29, 2006
The provider is located at 3900 Capital Mall Dr Sw Olympia, Wa 98502 and the phone number is (360) 754-5858
This medical organization specializes in Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 29, 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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