DBA: GATEWAY SURGERY CENTER – NPI #1013138536
Clinic/Center

DBA: GATEWAY SURGERY CENTER is an AHC clinic located in EVERETT, WA. NPPES has assigned the NPI number 1013138536 to DBA: GATEWAY SURGERY CENTER on May 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA: GATEWAY SURGERY CENTER” is a dba name, the actual legal business name for this organization is WESTERN WASHINGTON MEDICAL GROUP, INC, PS. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 8 years ago on Oct 29, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DBA: GATEWAY SURGERY CENTER below.

NPI Profile for
WESTERN WASHINGTON MEDICAL GROUP, INC, PS

NPI Number
1013138536
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WESTERN WASHINGTON MEDICAL GROUP, INC, PS
Doing Business As (dba): DBA: GATEWAY SURGERY CENTER
Primary location
3726 BROADWAY SUITE 206
EVERETT, WA 98201-3787
Phone: (425) 374-5160 Fax: (425) 374-5161
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATHLINE SULLIVAN
ADMINISTRATOR
Phone: (425) 374-5176
Updated
Identifiers

Identifiers for DBA: GATEWAY SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA7139009
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.