Doctors Clinic A Professional Corporation

Clinic/Center, Ambulatory Surgical in Silverdale, WA. Organization (NPI-2).

NPI number1073663480

StatusActive

Last updated in NPPESMay 28, 2015

Details

NPI: 1073663480
Entity type: Organization (NPI-2)
Legal business name: Doctors Clinic A Professional Corporation
Organization subpart: Yes
Enumeration date: Jan 11, 2007
Last updated: May 28, 2015

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QA1903X	Clinic/Center, Ambulatory Surgical	–	–	Yes
261QE0800X	Clinic/Center, Endoscopy	–	–

Other names

The Doctors Clinic Ambulatory Surgery Center (Doing Business As)

Practice location

2200 Nw Myhre Rd
Silverdale, WA 98383-7681

Phone 360-830-1100 · Fax 360-830-1283

Mailing address

9621 Ridgetop Blvd Nw
Silverdale, WA 98383-8502

Phone 360-782-3650 · Fax 360-782-3686

Authorized official

Jay Burghart
Ceo
3607823650

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Ambulatory Surgical Clinic/Center providers in Silverdale, WA

All 7 Ambulatory Surgical Clinic/Center providers in Silverdale · All 1,626 providers in Silverdale

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