AUBURN SURGICAL CENTER
NPI 1467783233
Clinic/Center - Ambulatory Surgical in Auburn, WA

Q: What is South Sound Surgery, PLLC's NPI number?

The NPI number for South Sound Surgery, PLLC is 1467783233. It was assigned to this organization in the NPPES registry on January 19, 2010. The provider is doing business as Auburn Surgical Center.

Q: What is South Sound Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since January 19, 2010CLIA 50D2002197 · Waiver

101 2ND ST NE, AUBURN, WA 98002(253) 394-0125 Get Directions Write a Review

NPPES record last updated: January 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Auburn Surgical Center NPPES

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

AUBURN SURGICAL CENTER (NPI 1467783233) is a healthcare organization registered as an ambulatory surgical in Auburn, Washington and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Pam Stanfill, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1467783233

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTH SOUND SURGERY, PLLC

Location Address101 2ND ST NEAuburn, WA 98002-4902

Mailing AddressPo Box 1409Auburn, WA 98071-1409 · (253) 394-0125

Phone(253) 394-0125

Organization SubpartNo

Authorized OfficialPam StanfillBilling Manager · (253) 223-0515

Enumeration DateJanuary 19, 2010

✔ NPI 1467783233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

101 2ND ST NE, Auburn, WA 98002

Open in Google Maps ↗

Other Names 1

Doing Business AsAuburn Surgical Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2002197

Auburn Surgical Center · Auburn, WA

Active · expires Apr 4, 2028

CLIA Number50D2002197

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJanuary 8, 2010

Certificate Expiration DateApril 4, 2028

Laboratory DirectorJohn Conrad

Laboratory Phone(253) 394-0125

Laboratory LocationAuburn Surgical Center101 2nd NE, Auburn, WA 98002

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

261 services13 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

182 services12 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories South Sound Surgery carries, from the Medicare DMEPOS supplier directory.

South Sound Surgery

DMEPOS supplier · Auburn, WAOperated by South Sound Surgery, PLLC

✔

Accepts Medicare assignment

South Sound Surgery agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20546819

Medicare Participant SinceJanuary 1, 2010

Supplier Location101 2nd St NEAuburn, WA 98002

Phone(253) 394-0125

Provider TypeAmbulatory Surgical Center · Physician – General Surgery

Medicare Product Categories

Contracture Treatment Devices: Dynamic Splint

Dynamic splinting devices for the knee, elbow, wrist, finger, or toe

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Infrared Heating Pads Systems and/or Supplies

Infrared Heating Pad Systems, Replacement Pads

Negative Pressure Wound Therapy Pumps/Supplies

Wound care sets, Pumps, Canisters

Support Surfaces: Pressure Reducing Beds/Mats/Pads

Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed

Traction Equipment

Traction tables, Traction machines, Inversion tables

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 10

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

JACK GOLDMAN M.D.

Internal Medicine