EASTSIDE PULMONARY ASSOCIATES INC PS NPI 1083817936

NPI Information

NPI: 1083817936
Provider Name: EASTSIDE PULMONARY ASSOCIATES INC PS
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
919 109TH AVE NE
BELLEVUE, WA
ZIP 98004
Phone: (425) 646-3993
Get Directions

EASTSIDE PULMONARY ASSOCIATES INC PS is a pulmonary disease internal medicine in Bellevue, WA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. EASTSIDE PULMONARY ASSOCIATES INC PS NPI is 1083817936. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

919 109TH AVE NE
BELLEVUE, WA
ZIP 98004-485
Phone: (425) 646-3993
Fax: (425) 453-8274

The provider's authorized official is Barry Lyon Marmorstein .
The authorized official title is Physician and has the following contact phone number (425) 761-6401.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 1/3/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	MD00013991	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A05096	MEDICARE UPIN	WASHINGTON
2	8921640	OTHER	WASHINGTON	L&I CRIME VICTIMS UNIT
3	AB38467	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
4	0014435	OTHER	WASHINGTON	LABOR & INDUSTRIES
5	336277300	OTHER	WASHINGTON	FEDERAL DEPT OF LABOR
6	M123	OTHER	WASHINGTON	REGENCE BLUE SHIELD
7	CS4779	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	RAILROAD MEDICARE
8	5558MA	OTHER	WASHINGTON	REGENCE BLUE SHIELD
9	7123961	MEDICAID	WASHINGTON

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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