OrganizationActive
Lakewood Surgical Urology Ps
NPI 1215023940 · Urology Physician · Lakewood, WA
Provider details
- NPI number
- 1215023940
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Bak, Owner/Provider(253) 581-7000
- License
- MD00044997 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11306 Bridgeport Way Sw
Suite D
Lakewood, WA 98499-3005
Phone: (253) 581-7000
Fax: (253) 984-6774
Street-level locationGet directions
Mailing address
Po Box 97115
Lakewood, WA 98497-0115
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.