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EASTSIDE VASCULAR LLP NPI 1356471833


NPI Information

NPI: 1356471833
Provider Name: EASTSIDE VASCULAR LLP
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1135 116TH AVE NE STE 220
BELLEVUE, WA
ZIP 98004
Phone: (425) 450-7007
Get Directions

EASTSIDE VASCULAR LLP is a vascular surgery surgery in Bellevue, WA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. EASTSIDE VASCULAR LLP NPI is 1356471833. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1135 116TH AVE NE STE 220
BELLEVUE, WA
ZIP 98004-623
Phone: (425) 450-7007
Fax: (425) 450-0026

The provider's authorized official is Dudley Moorhead .
The authorized official title is Partner and has the following contact phone number (425) 450-7007.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 11/3/2009.


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
12086S0129XSurgeryVascular SurgeryYes

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
11098326MEDICAIDWASHINGTON
2CB3636OTHERRAILROAD MEDICARE
3A05210MEDICARE UPINWASHINGTON
4F25817MEDICARE UPINWASHINGTON
5G16815MEDICARE PINWASHINGTON
61371004MEDICAIDWASHINGTON
7CB3636MEDICARE PIN
8GAB16815MEDICARE PINWASHINGTON

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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