EVERGREEN SURGICAL CENTER
NPI 1689655334
Clinic/Center - Ambulatory Surgical in Kirkland, WA
NPI Status: Active since November 09, 2005
Contact Information
12333 NE 130TH LN
SUITE 500
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-5656
Fax: (425) 899-5638
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
About EVERGREEN SURGICAL CENTER
This page provides the complete NPI Profile along with additional information for Evergreen Surgical Center, a provider established in Kirkland, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1689655334 assigned on November 2005. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Evergreen Surgical Center. The authorized official of this NPI record is Dr. Jeff Tomlin M.d. (Executive Director)
- NPI
- 1689655334
- Provider Legal Name
- EVERGREEN SURGERY CENTER, LLC
- Other Organization Name
- EVERGREEN SURGICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12333 NE 130TH LN SUITE 500 KIRKLAND, WA 98034
- Location Phone
- (425) 899-5656
- Location Fax
- (425) 899-5638
- Mailing Address
- 12333 NE 130TH LN SUITE 500 KIRKLAND, WA 98034
- Mailing Phone
- (425) 899-5656
- Mailing Fax
- (425) 899-5638
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-09-2005
- Last Update Date
- 09-20-2007
- 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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License State
- WA
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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GAB37941 | MEDICARE PIN (08) | WA | |
| 7123631 | MEDICAID (05) | WA |
Reviews for EVERGREEN SURGICAL CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 6 | 5 | 5 | 3 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 12 | 5 | 10 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 2 + 5 + 1 + 0 + 3 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1689655334 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. HARRY AARON KAHN M.D. M.P.H. FACS
General Practice
12333 NE 130TH LN
SUITE 420
KIRKLAND, WA
ZIP 98034
DR. KELLY ANDREW CLINCH MD
Surgery
12333 NE 130TH LN
SUITE 420
KIRKLAND, WA
ZIP 98034
DR. JOHN S EBISU M.D.
Surgery
12333 NE 130TH LN
SUITE 420
KIRKLAND, WA
ZIP 98034
DR. MARION C JOHNSON M.D.
Surgery
12333 NE 130TH LN
SUITE 420
KIRKLAND, WA
ZIP 98034
DR. JAMES G. MHYRE M.D.
Surgery
12333 NE 130TH LN
SUITE 420
KIRKLAND, WA
ZIP 98034
DR. MICHAEL A TOWBIN M.D.
Surgery
12333 NE 130TH LN
SUITE 420
KIRKLAND, WA
ZIP 98034
MS. BARBARA JEAN SEVERSON ARNP
Nurse Practitioner
(Adult Health)
12333 NE 130TH LN
SUITE 225
KIRKLAND, WA
ZIP 98034
PROLIANCE SURGEONS, INC., P.S.
Surgery
12333 NE 130TH LN
SUITE 420
KIRKLAND, WA
ZIP 98034
PROLIANCE SURGEONS, INC., P.S.
Clinic/Center
(Ambulatory Surgical)
12333 NE 130TH LN
SUITE 420
KIRKLAND, WA
ZIP 98034
MS. KATHERINE LOUISE BATTS PA-C
Physician Assistant
(Surgical)
12333 NE 130TH LN
SUITE 420
KIRKLAND, WA
ZIP 98034
SHANNON M DEVANGE MS, CGC
Genetic Counselor, MS
12333 NE 130TH LN
TAN 240
KIRKLAND, WA
ZIP 98034
BARBARA G HALLUM ARNP
Nurse Practitioner
12333 NE 130TH LN
#302
KIRKLAND, WA
ZIP 98034
JAMES E SCURLOCK MD
Anesthesiology
12333 NE 130TH LN
KIRKLAND, WA
ZIP 98034
SURGICAL CENTER ANESTHESIOLOGISTS
Anesthesiology
12333 NE 130TH LN
SUITE 500
KIRKLAND, WA
ZIP 98034
MARC D ERLITZ MD
Anesthesiology
12333 NE 130TH LN
SUITE 500
KIRKLAND, WA
ZIP 98034
RONALD EARL ABRAMS MD
Anesthesiology
12333 NE 130TH LN
SUITE 500
KIRKLAND, WA
ZIP 98034
BARBARA J TROIANO MD
Internal Medicine
12333 NE 130TH LN
STE 310
KIRKLAND, WA
ZIP 98034
MARY TSUANG M.D.
Obstetrics & Gynecology
12333 NE 130TH LN
#110
KIRKLAND, WA
ZIP 98034
MARY N BRUMFIEL M.D.
Obstetrics & Gynecology
12333 NE 130TH LN
#110
KIRKLAND, WA
ZIP 98034
JOSEPHINE S WANG M.D.
Obstetrics & Gynecology
12333 NE 130TH LN
#110
KIRKLAND, WA
ZIP 98034
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689655334, enumerated as an "organization" on November 09, 2005.
The provider is located at 12333 NE 130TH LN SUITE 500 KIRKLAND, WA 98034 and the phone number is (425) 899-5656.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
