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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| 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 |
| Street Address |
1380 112TH AVE NE STE 307 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3759 |
| 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 |
| 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 | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| 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] |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.