PROVASCULAR SURGERY ASSOCIATES PLLC – Vascular Surgery Physician, NPI 1174851810

PROVASCULAR SURGERY ASSOCIATES PLLC is a healthcare provider. based in Renton, Washington. specializing in Vascular Surgery Physician. The organization holds a License No. MD60106870 (WA). The NPI Number for PROVASCULAR SURGERY ASSOCIATES PLLC is 1174851810

Main info

Organization
Name
PROVASCULAR SURGERY ASSOCIATES PLLC
NPI
1174851810
Phone
(425) 227-4341
Address
4300 TALBOT RD S
Authorized Official
DENNIS L SU PHYSICIAN/OWNER MD
Enumeration Date
18 November 2009
Last Update Date
12 December 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for PROVASCULAR SURGERY ASSOCIATES PLLC

  • Cascade Vision Center, 4300, Talbot Road South, Renton, King County, Washington, 98055, United States

    STE 101

    RENTON, WA 980556238

    Phone: (425) 227-4341

    Fax: (425) 793-6045

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 98055)

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Frequently asked questions

Can I cross-check PROVASCULAR SURGERY ASSOCIATES PLLC using NPI 1174851810?
NPI 1174851810 belongs to PROVASCULAR SURGERY ASSOCIATES PLLC; compare other details if you need extra assurance.
Is PROVASCULAR SURGERY ASSOCIATES PLLC shown as active in public data?
Registry records indicate PROVASCULAR SURGERY ASSOCIATES PLLC maintains an active NPI.
What area of care is associated with PROVASCULAR SURGERY ASSOCIATES PLLC?
PROVASCULAR SURGERY ASSOCIATES PLLC's record emphasizes Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with PROVASCULAR SURGERY ASSOCIATES PLLC?
Directory geography for PROVASCULAR SURGERY ASSOCIATES PLLC centers on Renton, Washington.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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