THE EDMONDS SURGERY CENTER – NPI #1467907287
Clinic/Center

THE EDMONDS SURGERY CENTER is an AHC clinic located in EDMONDS, WA. NPPES has assigned the NPI number 1467907287 to THE EDMONDS SURGERY CENTER on August 22, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE EDMONDS SURGERY CENTER” is a dba name, the actual legal business name for this organization is OPTUM CARE WASHINGTON PLLC. With multiple taxonomy codes selected, 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 2 years ago on Apr 09, 2024. 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 THE EDMONDS SURGERY CENTER below.

NPI Profile for
OPTUM CARE WASHINGTON PLLC

NPI Number
1467907287
Enumeration Date

(about 10 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
OPTUM CARE WASHINGTON PLLC
Doing Business As (dba): THE EDMONDS SURGERY CENTER
Primary location
21401 72ND AVE W
EDMONDS, WA 98026-7702
Phone: (425) 258-3900 Fax:
Mailing address
PO BOX 5127
EVERETT, WA 98206-5127
Phone: (425) 258-3900 Fax:
Organization Subpart
Yes - THE EDMONDS SURGERY CENTER is subpart of another organization.
Authorized Official
GEORGE GO
BOARD PRESIDENT
Phone: (425) 258-3900
Updated
Certification Date
Apr 09, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)
332B00000X
- Durable Medical Equipment & Medical Supplies

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.