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PUGET SOUND SURGICAL CLINIC INC
NPI 1689814998
Clinic/Center - Ambulatory Surgical in Shoreline, WA

Active since February 26, 2009CLIA 50D2097123 · Waiver
19930 BALLINGER WAY NE, SHORELINE, WA 98155(425) 778-2220(425) 778-7701 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Puget Sound Surgical Clinic Inc NPPES

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

PUGET SOUND SURGICAL CLINIC INC (NPI 1689814998) is a healthcare organization registered as an ambulatory surgical in Shoreline, Washington and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Cheryl Hamill, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1689814998
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePUGET SOUND SURGICAL CLINIC INC
Location Address19930 BALLINGER WAY NEShoreline, WA 98155-1223
Mailing Address19930 Ballinger Way NeShoreline, WA 98155-1223 · (425) 778-2220 · Fax (425) 778-7701
Phone(425) 778-2220
Fax(425) 778-7701
Organization SubpartNo
Authorized OfficialCheryl HamillOperations Manager · (425) 778-2220
Enumeration DateFebruary 26, 2009
Last NPPES UpdateMarch 26, 2019
✔ NPI 1689814998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
19930 BALLINGER WAY NE, Shoreline, WA 98155
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 50D2097123

Puget Sound Surgical Center - Shoreline · Shoreline, WA
Active · expires Apr 4, 2028
CLIA Number50D2097123
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 9, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRobert W. Landerholm
Laboratory Phone(425) 778-2220
Laboratory LocationPuget Sound Surgical Center - Shoreline19930 Ballinger Way NE, Shoreline, WA 98155
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. JEDEDIAH A KAUFMAN MD
Surgery
19930 BALLINGER WAY NE
SHORELINE, WA 98155
King County (425) 778-2220
JULIA ENGEL MS, RD, CD
Dietitian, Registered
19930 BALLINGER WAY NE
SHORELINE, WA 98155
King County (425) 778-2220
THE MULTISPECIALTY SURGENCY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
19930 BALLINGER WAY NE
SHORELINE, WA 98155
King County (206) 957-8128
ALVINA WON MD
Surgery
19930 BALLINGER WAY NE
SHORELINE, WA 98155
King County (425) 778-2220
LANCY MIMI TAN MD
Surgery
19930 BALLINGER WAY NE
SHORELINE, WA 98155
King County (425) 778-2220
BRANDON WILLEM VANDERWEL M.D.
Surgery
19930 BALLINGER WAY NE
SHORELINE, WA 98155
King County (425) 778-2220
MRS. KATRINA ANN BURKHOLDER OTRL OCCUPATIONAL TH
Occupational Therapist
19930 BALLINGER WAY NE
SHORELINE, WA 98155
King County (206) 363-6947
DOMINIC K ROSSBOTHAM RN-FIRST SURGICAL AS
Orthopaedic Surgery (Hand Surgery)
19930 BALLINGER WAY NE
SEATTLE, WA 98155
King County (206) 363-6947

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 Puget Sound Surgical Clinic Inc's NPI number?

The NPI number for Puget Sound Surgical Clinic Inc is 1689814998. It was assigned to this organization in the NPPES registry on February 26, 2009.

Where is Puget Sound Surgical Clinic Inc located?

Puget Sound Surgical Clinic Inc is located at 19930 Ballinger Way NE, Shoreline, WA 98155. The listed phone number is (425) 778-2220.

What is Puget Sound Surgical Clinic Inc's specialty?

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

Does Puget Sound Surgical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2097123) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Puget Sound Surgical Clinic Inc accept?

Health plans from Providence Health Plan list Puget Sound Surgical Clinic Inc 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 Puget Sound Surgical Clinic Inc was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.