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Puget Sound Gastroenterology, PLLC

NPI 1366129132ActiveOrganization· Internal Medicine, Gastroenterology· Edmonds, WA

Internal Medicine, Gastroenterology in Edmonds, Washington, registered in NPPES in July 2023, part of Puget Sound Gastroenterology, PLLC. The authorized official on file is Alan Oliver, CEO, Ceo.

Overview

NPI1366129132
StatusActive
Entity typeOrganization (subpart)
Parent organizationPuget Sound Gastroenterology, PLLC
NPI issuedJul 3, 2023
Last updated in NPPESMay 16, 2025
Certified by providerMay 16, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine, Gastroenterology Primary207RG0100X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other gastroenterologists in Edmonds

All 18 gastroenterologists in Edmonds · All gastroenterologists in Washington