Provider Demographics
NPI:1437108040
Name:SEATTLE ANESTHESIA SERVICES, P C
Entity Type:Organization
Organization Name:SEATTLE ANESTHESIA SERVICES, P C
Other - Org Name:JUNEAU ANESTHESIA ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:R
Authorized Official - Last Name:LOONEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-953-6585
Mailing Address - Street 1:2311 26TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-2611
Mailing Address - Country:US
Mailing Address - Phone:206-953-6585
Mailing Address - Fax:
Practice Address - Street 1:3260 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7808
Practice Address - Country:US
Practice Address - Phone:907-796-8632
Practice Address - Fax:907-796-8455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1136SEOtherREGENCE BLUE SHIELD GRP #
WAGAB34527Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
WA7114903Medicaid
WA0165303OtherDEPT OF L&I GROUP NUMBER