Evergreen Surgical Clinic – Surgery Physician, NPI 1487691150

Evergreen Surgical Clinic is a healthcare provider. based in Seattle, Washington. specializing in Surgery Physician. The organization holds a License No. 601484763 (WA). The NPI Number for Evergreen Surgical Clinic is 1487691150

Main info

Organization
Name
Evergreen Surgical Clinic
NPI
1487691150
Phone
(206) 264-8100
Address
805 MADISON ST.
Authorized Official
MR. DAVID G. FITZGERALD CEO
Enumeration Date
1 June 2006
Last Update Date
31 October 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Evergreen Surgical Clinic

  • Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States

    SUITE 901

    SEATTLE, WA 981041172

    Phone: (206) 264-8100

    Fax: (206) 264-8689

    Type: Mailing

  • 12333, Northeast 130th Lane, Kirkland, King County, Washington, 98034-7114, United States

    SUITE 420

    KIRKLAND, WA 980347467

    Phone: (425) 899-5500

    Fax: (425) 899-5529

    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

Source: CMS public data · Not endorsed by CMS ·

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

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 98104)

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Reviews

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Frequently asked questions

Can I use this page to confirm Evergreen Surgical Clinic's NPI?
Yes. Evergreen Surgical Clinic is listed with NPI 1487691150 in the public NPI dataset.
Is Evergreen Surgical Clinic still practicing?
Evergreen Surgical Clinic is currently listed as active in the public NPI registry.
What is Evergreen Surgical Clinic's primary classification?
Surgery Physician is the headline specialty for Evergreen Surgical Clinic here. Clinical services aligned with this taxonomy classification.
Where is Evergreen Surgical Clinic based?
Evergreen Surgical Clinic is tied to Seattle, Washington in the data we show; additional addresses may exist on the full record.
Is the information about Evergreen Surgical Clinic up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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