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Provascular Surgery Associates Pllc

Vascular Surgery Physician in Renton, WA · enumerated 2009 · authorized official Dennis Su, Physician/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174851810

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Registry record

Entity type Organization (Type 2)
Legal business name Provascular Surgery Associates Pllc
Practice address 4300 Talbot Rd S, Ste 101, Renton, WA, 98055
Fax (425) 793-6045
Enumeration date Nov 18, 2009
Last updated in NPPES Dec 12, 2014

Taxonomy & classification

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License MD60106870 (WA) Primary

Authorized official

Name Dennis Su
Title Physician/Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Provascular Surgery Associates Pllc?
The NPI for Provascular Surgery Associates Pllc is 1174851810, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Provascular Surgery Associates Pllc?
NPPES lists Dennis Su (Physician/Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-12.