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BELLEVUE UROLOGY ASSOCIATES INC. PS. NPI 1578754347


NPI Information

NPI: 1578754347
Provider Name: BELLEVUE UROLOGY ASSOCIATES, INC. PS.

Doing Business As: BELLEVUE UROLOGY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1135 NE 116TH AVE.
SUITE 620
BELLEVUE, WA
ZIP 98004
Phone: (425) 454-8016
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BELLEVUE UROLOGY ASSOCIATES, INC. PS. is an ambulatory surgical clinic center in Bellevue, WA. BELLEVUE UROLOGY ASSOCIATES, INC. PS. NPI is 1578754347. The provider is registered as an organization entity type.
The provider Is Doing Business As Bellevue Urology Surgery Center.

The provider's business location address is:

1135 NE 116TH AVE.
SUITE 620
BELLEVUE, WA
ZIP 98004
Phone: (425) 454-8016
Fax: (425) 453-2827

The provider's authorized official is Robert M Weissman .
The authorized official title is M.d. & President and has the following contact phone number (425) 454-8016.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 1/22/2010.


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
1261QA1903XClinic/CenterAmbulatory SurgicalNo
2261QA1903XClinic/CenterAmbulatory SurgicalASF.FS.60099928WASHINGTONYes

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
1GAB18065MEDICARE PIN
27108558MEDICAIDWASHINGTON

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: 11/14/2023

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