VASCULAR SURGERY NW PS – NPI #1780657924
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

VASCULAR SURGERY NW PS is a surgeon located in LAKEWOOD, WA. NPPES has assigned the NPI number 1780657924 to VASCULAR SURGERY NW PS on February 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 19 years ago on Oct 03, 2007. 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 VASCULAR SURGERY NW PS below.

NPI Profile for
VASCULAR SURGERY NW PS

NPI Number
1780657924
Enumeration Date

(more than 20 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
VASCULAR SURGERY NW PS
Primary location
11311 BRIDGEPORT WAY SW
#203
LAKEWOOD, WA 98499
Phone: (253) 572-2844 Fax: (253) 572-2841
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALLEN YU
PRESIDENT
Phone: (253) 572-2844
Updated
Identifiers

Identifiers for VASCULAR SURGERY NW PS

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
OTHERL AND I0430430
MEDICAIDWA7076797
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
2086S0129X
- Surgery / Vascular Surgery (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.