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PA Surgical Services

NPI 1871672899ActiveOrganization· Physician Assistant, Surgical· Kirkland, WA

Physician Assistant, Surgical in Kirkland, Washington, registered in NPPES in November 2006. The authorized official on file is Kent Wallace, PA-C, Owner.

Overview

NPI1871672899
StatusActive
Entity typeOrganization
NPI issuedNov 2, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Surgical Primary363AS0400XPA10000442WA

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 Physician Assistant, Surgical providers in Kirkland

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