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PETER MYLES MCGOUGH NPI 1013092824


NPI Information

NPI: 1013092824
Provider Name: PETER MYLES MCGOUGH
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
13231 SE 36TH ST STE 110
BELLEVUE, WA
ZIP 98006
Phone: (425) 957-9000
Get Directions

Peter Myles Mcgough is a family medicine in Bellevue, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Peter Myles Mcgough NPI is 1013092824. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13231 SE 36TH ST STE 110
BELLEVUE, WA
ZIP 98006-321
Phone: (425) 957-9000

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD00018447WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
169480OTHERINTERNAL ID-MOTOR VEHICLE ID
2A06822MEDICARE UPIN
38881868MEDICARE PINWASHINGTON
40160766OTHERWASHINGTONL&I
51013092824MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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