EASTSIDE PULMONARY ASSOCIATES INC PS (NPI# 1083817936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083817936 |
| Entity Type | Organization |
| Organization Name | EASTSIDE PULMONARY ASSOCIATES INC PS |
| Practice Address |
919 109th Ave Ne Bellevue WA 98004-4485 |
| Mailing Address |
Po Box 88 Ronald WA 98940-0088 |
| Practice Telephone | 4256463993 |
| Practice Fax Number | 4254538274 |
| Mailing Telephone | 4257616401 |
| Mailing Fax Number | 5096746896 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2012-01-03 |
| Authorized Official Name | DR. BARRY LYON MARMORSTEIN (PHYSICIAN) |
| Authorized Official Telephone | 4257616401 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD00013991 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0014435 | 01 |
| WA | REGENCE BLUE SHIELD | 5558MA | 01 |
| WA | 7123961 | 05 | |
| WA | FEDERAL DEPT OF LABOR | 336277300 | 01 |
| WA | L&I CRIME VICTIMS UNIT | 8921640 | 01 |
| WA | REGENCE BLUE SHIELD | M123 | 01 |
| Street Address |
919 109TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-4485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992747729 | Fountains Bellevue Sl, LLC | Skilled Nursing Facility | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2006-06-13 |
| 1538776372 | Meredith Peterson | Occupational Therapist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2020-09-25 |
| 1235743014 | Dayna J Talley | Occupational Therapist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2020-08-31 |
| 1528522737 | Courtney Marie Roach | Physical Therapist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2019-01-22 |
| 1265942874 | Christie L Shin | Speech-Language Pathologist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2017-10-10 |
| 1487028692 | Jenna Marie Jue | Occupational Therapist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2015-11-26 |
| 1588043020 | Independence Rehab LLC | Skilled Nursing Facility | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2015-05-28 |
| 1083093843 | Shu-min Lin | Occupational Therapist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2015-05-27 |
| 1396124384 | Emily Ruth Dosland | Physical Therapist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2015-05-22 |
| 1023496114 | Watemark Bellevue, LLC | Skilled Nursing Facility | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2015-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619048709 | Eric P Gottesman | Internal Medicine | 1135 116th Ave Ne, Suite 600, Bellevue, WA 98004-4623 | 2006-11-13 |
| 1881629798 | Radha Agrawal | Internal Medicine | 1135 116th Ave Ne, Suite 600, Bellevue, WA 98004-4623 | 2006-07-11 |
| 1740211770 | Ronald Joseph O'quin | Internal Medicine | 1135 116th Ave Ne, Suite 610, Bellevue, WA 98004-4623 | 2006-07-06 |
| 1467482638 | Marlin Gerald Stahl | Internal Medicine | 2500 Bellevue Medical Center Dr, Bellevue, NE 68123-1591 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386004638 | Kent N Sullivan Md Pllc | Internal Medicine | 19219 51st Ave Ne, Lake Forest Park, WA 98155-2940 | 2016-02-29 |
| 1215363676 | Lawrence Edward Klock Jr. | Internal Medicine | 4115 S Bellgrove Ln, Spokane, WA 99223-6185 | 2013-09-17 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1174864912 | Steven Chase Springmeyer | Internal Medicine | 219 Terry Ave N Ste 100, Seattle, WA 98109-5230 | 2013-03-04 |
| 1326364688 | Surafel Befekadu Gezahegne | Internal Medicine | 4011 Talbot Rd S Ste 460, Renton, WA 98055-5791 | 2010-04-12 |
| 1649439209 | Allison A Lambert | Internal Medicine | 105 W 8th Ave Ste 660e, Spokane, WA 99204-2302 | 2008-06-08 |
| 1114192937 | Richard Clark Redman | Internal Medicine | 500 Lilly Road Ne, Suite 201, Olympia, WA 98506 | 2008-04-23 |
| 1467637058 | John E Sailer | Internal Medicine | 181 Saddle Drive, Port Townsend, WA 98368 | 2008-01-02 |
| 1891995882 | Bridget Collins | Internal Medicine | Uwmc 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-07-19 |
| 1538368360 | Vincent George Lerma Cunanan | Internal Medicine | 1100 Goethals Drive Third Floor, Kadlec Clinic Pulmonary, Richland, WA 99352 | 2007-07-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EASTSIDE PULMONARY ASSOCIATES INC PS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.