CREEKSIDE SLEEP MEDICINE CENTER PLLC


Address: 1380 112th Ave Ne Ste 307, Bellevue, WA 98004-3759
Phone: 4252782250

CREEKSIDE SLEEP MEDICINE CENTER PLLC (NPI# 1134464993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134464993
Entity Type Organization
Organization Name CREEKSIDE SLEEP MEDICINE CENTER PLLC
Practice Address 1380 112th Ave Ne Ste 307
Bellevue
WA 98004-3759
Practice Telephone 4252782250
Practice Fax Number 4255625885
Mailing Telephone 4252782250
Mailing Fax Number 4255625885
Enumeration Date 2012-12-05
Last Update Date 2012-12-05
Authorized Official Name MRS. TERESA E JACOBS (MEDICAL DIRECTOR)
Authorized Official Telephone 4252782250
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RS0012X Internal Medicine
Specialization: Sleep Medicine
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154667475 Creekside Sleep Medicine Center Pllc Internal Medicine 1380 112th Ave Ne, #307, Bellevue, WA 98004-3759 2012-12-13
1184841256 Creekside Sleep Medicine Center Pllc Clinic/Center 1380 112th Ave Ne, #307, Bellevue, WA 98004-3759 2007-04-19

Office Location

Street Address 1380 112TH AVE NE STE 307
City BELLEVUE
State WA
Zip Code 98004-3759

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114106945 Teresa E. Jacobs, Md, Ps Internal Medicine 1380 112th Ave Ne Ste 307, Bellevue, WA 98004-3759 2007-10-29

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RS0012X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sleep Medicine

Taxonomy Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114106945 Teresa E. Jacobs, Md, Ps Internal Medicine 1380 112th Ave Ne Ste 307, Bellevue, WA 98004-3759 2007-10-29
1285633735 Teresa E. Jacobs Internal Medicine 1380 112th Ave Ne #307, Bellevue, WA 98004-3759 2005-07-18
1023650314 Us Home Sleep Test Pllc Internal Medicine 1414 116th Ave Ne Ste F, Bellevue, WA 98004-3801 2019-10-08
1154667475 Creekside Sleep Medicine Center Pllc Internal Medicine 1380 112th Ave Ne, #307, Bellevue, WA 98004-3759 2012-12-13
1619292596 Overlake Sleep Disorders Center Internal Medicine 1100 112th Ave Ne, Suite 320, Bellevue, WA 98004-4511 2010-04-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366073850 Sleep Insitute of Spokane, Pllc Internal Medicine 324 S Sherman St Ste 5, Spokane, WA 99202-1461 2020-02-03
1881074649 The Polyclinic Internal Medicine 1414 10th Ave, Seattle, WA 98122-3857 2015-06-05
1508078627 John M Shima Md Ps Internal Medicine 460 West E St, Forks, WA 98331 2007-05-03
1700998747 Usha K Reddi Internal Medicine 777 N 5th Ave Ste 106, Sequim, WA 98382-3080 2006-08-31
1578673703 Stephen S Chung Internal Medicine 19 Southpoint Ln, Walla Walla, WA 99362-4175 2006-08-30
1639132871 Frankie R Roman Internal Medicine 13020 Meridian Ave S, Everett, WA 98208 2006-04-10
1336668839 Memorial Physicians, Pllc Internal Medicine 1812 E Edison Ave, Sunnyside, WA 98944-1653 2017-09-15
1881056695 Ankur Nilesh Patel Internal Medicine 1201 S Miller St, Wenatchee, WA 98801-3201 2016-03-22
1285012963 Vancouver Sleep Center, LLC Internal Medicine 16219 Se 12th St, Suite 206, Vancouver, WA 98683-8904 2015-05-13
1386021079 David James Culpepper Internal Medicine 34503 9th Ave S Ste 230, Federal Way, WA 98003 2015-05-01
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Competitor

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City BELLEVUE
Zip Code 98004

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Dataset Information

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.

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