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EASTSIDE ORTHOPEDICS & SPORTS MEDICINE NPI 1518042084


NPI Information

NPI: 1518042084
Provider Name: EASTSIDE ORTHOPEDICS & SPORTS MEDICINE
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1601 116TH AVE NE
SUITE 111
BELLEVUE, WA
ZIP 98004
Phone: (425) 990-8300
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EASTSIDE ORTHOPEDICS & SPORTS MEDICINE is a specialist in Bellevue, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EASTSIDE ORTHOPEDICS & SPORTS MEDICINE NPI is 1518042084. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1601 116TH AVE NE
SUITE 111
BELLEVUE, WA
ZIP 98004-010
Phone: (425) 990-8300
Fax: (425) 990-8311

The provider's authorized official is Vincent Santoro .
The authorized official title is Physician/owner and has the following contact phone number (425) 656-4255.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 8/22/2020.


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
1174400000XSpecialistMD00025701WASHINGTONYes

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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