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PROVASCULAR SURGERY ASSOCIATES PLLC
NPI 1174851810
Surgery - Vascular Surgery in Renton, WA

Active since November 18, 2009
4300 TALBOT RD S, STE 101, RENTON, WA 98055(425) 227-4341(425) 793-6045 Get Directions Write a Review

NPPES record last updated: December 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Provascular Surgery Associates Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVASCULAR SURGERY ASSOCIATES PLLC (NPI 1174851810) is a healthcare organization registered as a vascular surgery in Renton, Washington and active in the NPI registry since November 2009. The organization lists Dennis L Su, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1174851810
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NamePROVASCULAR SURGERY ASSOCIATES PLLC
Location Address4300 TALBOT RD S, STE 101Renton, WA 98055-6328
Mailing Address4300 Talbot Rd S, Ste 101Renton, WA 98055-6238 · (425) 227-4341 · Fax (425) 793-6045
Phone(425) 227-4341
Fax(425) 793-6045
Organization SubpartNo
Authorized OfficialDennis L SuPhysician/owner · (425) 227-4341
Enumeration DateNovember 18, 2009
Last NPPES UpdateDecember 12, 2014
✔ NPI 1174851810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in WA · MD60106870
Definition

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

4300 TALBOT RD S, Renton, WA 98055
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEOFFREY J YULE M.D.
Plastic Surgery
4300 TALBOT RD S, STE 105
RENTON, WA 98055
King County (425) 255-5494
SEASONS ALLERGY CLINIC PS
Specialist
4300 TALBOT RD S, 310
RENTON, WA 98055
King County (425) 226-4294
DR. ALISHA COLLEEN HALVERSON DNP, CNM, ARNP
Advanced Practice Midwife
4300 TALBOT RD S
RENTON, WA 98055
King County (425) 207-8769
DR. ANDREW JAMES HOLMAN MD
Internal Medicine (Rheumatology)
4300 TALBOT RD S, SUITE 101
RENTON, WA 98055
King County (425) 235-9500
NW TREATMENT CENTER LLC
Massage Therapist
4300 TALBOT RD S, STE 303
RENTON, WA 98055
King County (425) 207-8066
GEORGE J KO MD
Ophthalmology (Retina Specialist)
4300 TALBOT RD S, SUITE 300
RENTON, WA 98055
King County (425) 228-6262
LINDA M GEERE MD
Family Medicine
4300 TALBOT RD S, 103
RENTON, WA 98055
King County (425) 572-5112
NORTHWEST FOOT & ANKLE CENTER, PS
Podiatrist
4300 TALBOT RD S, SUITE 102
RENTON, WA 98055
King County (425) 277-3668

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provascular Surgery Associates PLLC's NPI number?

The NPI number for Provascular Surgery Associates PLLC is 1174851810. It was assigned to this organization in the NPPES registry on November 18, 2009.

Where is Provascular Surgery Associates PLLC located?

Provascular Surgery Associates PLLC is located at 4300 Talbot Rd S Ste 101, Renton, WA 98055. The listed phone number is (425) 227-4341.

What is Provascular Surgery Associates PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

What insurance does Provascular Surgery Associates PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Provascular Surgery Associates PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Provascular Surgery Associates PLLC was last updated on December 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.