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BELLEVUE INTERNAL MEDICINE ASSOCIATES PLLC NPI 1235206558


NPI Information

NPI: 1235206558
Provider Name: BELLEVUE INTERNAL MEDICINE ASSOCIATES PLLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 50D2031448

Address:
1750 112TH AVE NE
SUITE A101 & A102
BELLEVUE, WA
ZIP 98004
Phone: (425) 637-1022
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BELLEVUE INTERNAL MEDICINE ASSOCIATES PLLC is a geriatric medicine internal medicine in Bellevue, WA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. BELLEVUE INTERNAL MEDICINE ASSOCIATES PLLC NPI is 1235206558. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1750 112TH AVE NE
SUITE A101 & A102
BELLEVUE, WA
ZIP 98004-782
Phone: (425) 637-1022
Fax: (425) 637-2011

The provider's authorized official is Henry Joseph Williams .
The authorized official title is Member and has the following contact phone number (425) 637-1022.

The CLIA number assigned to this NPI record is 50D2031448 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 6/16/2010.


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
1207RG0300XInternal MedicineGeriatric Medicine601913899WASHINGTONNo
2207RG0300XInternal MedicineGeriatric MedicineMD00024795WASHINGTONYes

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
1AB07022MEDICARE PINWASHINGTON
27093594MEDICAIDWASHINGTON

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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