SOUTHEAST UROLOGY CLINIC A PC – Urology Physician, NPI 1083715262

SOUTHEAST UROLOGY CLINIC A PC is a healthcare provider. based in Mount vernon, Washington. specializing in Urology Physician. The organization holds a License No. 121467 (AK). The NPI Number for SOUTHEAST UROLOGY CLINIC A PC is 1083715262

Main info

Organization
Name
SOUTHEAST UROLOGY CLINIC A PC
NPI
1083715262
Phone
(360) 424-7991
Address
1311 E DIVISION ST
Authorized Official
MS. EVA M SAMTMANA AMINISTRATOR
Enumeration Date
26 September 2006
Last Update Date
9 August 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SOUTHEAST UROLOGY CLINIC A PC

  • Pacific Rim Urology, 1311, East Division Street, Mount Vernon, Skagit County, Washington, 98274, United States

    MOUNT VERNON, WA 98274

    Phone: (360) 424-7991

    Fax: (360) 424-5441

    Type: Mailing

  • Peace Health Ketchikan Medical Ceneter, 3100, Tongass Avenue, Ketchikan, Ketchikan Gateway, Alaska, 99901, United States

    KETCHIKAN, AK 999015746

    Phone: (907) 225-1896

    Fax: (360) 428-4377

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98274)

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Reviews

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Frequently asked questions

What identifier follows SOUTHEAST UROLOGY CLINIC A PC across health systems?
The NPI 1083715262 uniquely identifies SOUTHEAST UROLOGY CLINIC A PC in U.S. healthcare data.
Is SOUTHEAST UROLOGY CLINIC A PC currently accepting referrals based on NPI status?
Registry metadata lists SOUTHEAST UROLOGY CLINIC A PC as active.
What type of care does SOUTHEAST UROLOGY CLINIC A PC provide?
SOUTHEAST UROLOGY CLINIC A PC's profile centers on Urology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to SOUTHEAST UROLOGY CLINIC A PC?
SOUTHEAST UROLOGY CLINIC A PC shows a connection to Mount Vernon, Washington in registry-derived data.
Can I export SOUTHEAST UROLOGY CLINIC A PC's record?
You can download the official NPPES record; we summarize key fields for readability.

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