SOUTH SOUND NEUROSURGERY PLLC
NPI 1417992389
Neurological Surgery in Puyallup, WA
NPI Status: Active since June 17, 2006
Contact Information
1519 3RD ST SE
SUITE 101
PUYALLUP, WA
ZIP 98372
Phone: (253) 841-8939
Fax: (253) 841-4528
- Organization
- Neurological Surgery
- Accepts Insurance
- CLIA Number: 50D1080480
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 04-04-2028
About SOUTH SOUND NEUROSURGERY PLLC
This page provides the complete NPI Profile along with additional information for South Sound Neurosurgery Pllc, a provider established in Puyallup, Washington operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1417992389 assigned on June 2006. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated one year ago. South Sound Neurosurgery Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Cathie Rosa (Business Manager)
- NPI
- 1417992389
- Provider Name
- SOUTH SOUND NEUROSURGERY PLLC
- Entity Type
- Organization
- Location Address
- 1519 3RD ST SE SUITE 101 PUYALLUP, WA 98372
- Location Phone
- (253) 841-8939
- Location Fax
- (253) 841-4528
- Mailing Address
- 1519 3RD ST SE SUITE 101 PUYALLUP, WA 98372
- Mailing Phone
- (253) 841-8939
- Mailing Fax
- (253) 841-4528
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-17-2006
- Last Update Date
- 04-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D1080480
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- February 22, 2008
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- KATHY WANG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to South Sound Neurosurgery Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1417992389, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PUYALLUP, WA 98372
PUYALLUP, WA 98372
PUYALLUP, WA 98372
PUYALLUP, WA 98372
PUYALLUP, WA 98372
PUYALLUP, WA 98372
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417992389, enumerated as an "organization" on June 17, 2006.
The provider is located at 1519 3RD ST SE SUITE 101 PUYALLUP, WA 98372 and the phone number is (253) 841-8939.
Neurological Surgery with taxonomy code 207T00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
