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LAKEWOOD SURGICAL UROLOGY PS
NPI 1215023940
Urology in Lakewood, WA

Active since October 04, 2006
11306 BRIDGEPORT WAY SW, SUITE D, LAKEWOOD, WA 98499(253) 581-7000(253) 984-6774 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakewood Surgical Urology Ps NPPES

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

LAKEWOOD SURGICAL UROLOGY PS (NPI 1215023940) is a healthcare organization registered as an urology in Lakewood, Washington and active in the NPI registry since October 2006. The organization lists John B Bak, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1215023940
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameLAKEWOOD SURGICAL UROLOGY PS
Location Address11306 BRIDGEPORT WAY SW, SUITE DLakewood, WA 98499-3005
Mailing AddressPo Box 97115Lakewood, WA 98497-0115 · (253) 588-7911 · Fax (253) 984-6774
Phone(253) 581-7000
Fax(253) 984-6774
Organization SubpartNo
Authorized OfficialJohn B BakOwner/provider · (253) 581-7000
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215023940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in WA · MD00044997
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
11306 BRIDGEPORT WAY SW, Lakewood, WA 98499
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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

Other Providers at the Same Location NPPES 3

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

PAUL BRADLEY PA-C
Physician Assistant
11306 BRIDGEPORT WAY SW, STE D
LAKEWOOD, WA 98499
Pierce County (425) 774-1538
SOUND PAIN ALLIANCE
Clinic/Center (Pain)
11306 BRIDGEPORT WAY SW, #D
LAKEWOOD, WA 98499
Pierce County (253) 983-9390
KYONG HO KIM DO
Pain Medicine (Interventional Pain Medicine)
11306 BRIDGEPORT WAY SW, SUITE D
LAKEWOOD, WA 98499
Pierce County (253) 983-9390

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 Lakewood Surgical Urology Ps's NPI number?

The NPI number for Lakewood Surgical Urology Ps is 1215023940. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Lakewood Surgical Urology Ps located?

Lakewood Surgical Urology Ps is located at 11306 Bridgeport Way SW Suite D, Lakewood, WA 98499. The listed phone number is (253) 581-7000.

What is Lakewood Surgical Urology Ps's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Lakewood Surgical Urology Ps was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.