| Seattle Vascular Surgery | |
|
7315 212th St Sw Suite 103 Edmonds WA 98026-7610 | |
| (206) 322-2000 | |
| (206) 322-2001 |
| Full Name | Seattle Vascular Surgery |
|---|---|
| Speciality | Clinic/Center |
| Location | 7315 212th St Sw, Edmonds, Washington |
| Authorized Official Name and Position | Mai Thanh Pham (VASCULAR SURGEON) |
| Authorized Official Contact | 2063222000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seattle Vascular Surgery 7315 212th St Sw Suite 103 Edmonds WA 98026-7610 Ph: (206) 322-2000 | Seattle Vascular Surgery 7315 212th St Sw Suite 103 Edmonds WA 98026-7610 Ph: (206) 322-2000 |
| NPI Number | 1457694127 |
|---|---|
| Provider Enumeration Date | 04/01/2013 |
| Last Update Date | 04/01/2013 |
| Medicare PECOS PAC ID | 2163663352 |
|---|---|
| Medicare Enrollment ID | O20130731000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457694127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD00048340 (Washington) | Primary |
| Provider Name | Kaj H Johansen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1366491045 PECOS PAC ID: 2668463225 Enrollment ID: I20060530000118 |
| Provider Name | Jason Kwang-go Lee |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114965332 PECOS PAC ID: 3779594825 Enrollment ID: I20060606000049 |
| Provider Name | Yi Soo Robert Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891978128 PECOS PAC ID: 6709954613 Enrollment ID: I20081006000256 |
| Provider Name | Rajitha Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386185098 PECOS PAC ID: 3173894458 Enrollment ID: I20170804000465 |
| Provider Name | Nikolous Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336676105 PECOS PAC ID: 6608207527 Enrollment ID: I20200510000250 |
Stevens Center For Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7320 216th St Sw, Suite 200, Edmonds, WA 98026 Phone: 425-640-4901 Fax: 425-640-4919 | |
Puget Sound Gastroenterology At Edmonds Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21600 Hwy 99, Suite 260, Edmonds, WA 98026 Phone: 425-774-2650 Fax: 425-774-2643 | |
Hope Family Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7614 195th St Sw, Ste 203, Edmonds, WA 98026 Phone: 425-744-0709 Fax: 425-771-1470 | |
Spero Consulting Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 James St, Suite 104, Edmonds, WA 98020 Phone: 425-412-8133 Fax: 425-412-8136 | |
Edmonds Pharmacy @ Stevens Health Center Ltc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21701 76th Ave W, Ste 104 B, Edmonds, WA 98026 Phone: 425-346-2148 Fax: 425-977-4881 | |
Puget Sound Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7315 212th St Sw, Suite 101, Edmonds, WA 98026 Phone: 425-775-9474 Fax: 425-670-3554 | |
Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23753 76th Ave W, Edmonds, WA 98026 Phone: 206-618-4692 |