Surprise Lake Medical Clinic – Family Medicine Physician, NPI 1962417659

Surprise Lake Medical Clinic is a healthcare provider. based in Milton, Washington. specializing in Family Medicine Physician. The NPI Number for Surprise Lake Medical Clinic is 1962417659

Main info

Organization
Name
Surprise Lake Medical Clinic
NPI
1962417659
Phone
(253) 922-5262
Address
2748 MILTON WAY
Authorized Official
CLIFF ROBERTSON CHIEF MEDICAL OFFICER
Enumeration Date
30 July 2006
Last Update Date
14 June 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Surprise Lake Medical Clinic

  • 2748, Milton Way, Milton Plaza, Milton, Pierce County, Washington, 98354, United States

    STE 101

    MILTON, WA 983549382

    Phone: (253) 922-5262

    Fax: (253) 922-5299

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

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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 98354)

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Reviews

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Frequently asked questions

What NPI should I save for Surprise Lake Medical Clinic?
Save NPI 1962417659 if you need a stable reference for Surprise Lake Medical Clinic.
Does this profile mean Surprise Lake Medical Clinic is currently active?
Yes — Surprise Lake Medical Clinic appears active in the national provider directory.
What does Surprise Lake Medical Clinic treat or focus on?
Patients typically see Surprise Lake Medical Clinic under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Surprise Lake Medical Clinic?
We surface Milton, Washington for Surprise Lake Medical Clinic based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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