BELLEVUE INTERNAL MEDICINE ASSOCIATES PLLC (NPI# 1235206558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235206558 |
| Entity Type | Organization |
| Organization Name | BELLEVUE INTERNAL MEDICINE ASSOCIATES PLLC |
| Practice Address |
1750 112th Ave Ne Suite A101 & A102 Bellevue WA 98004-3782 |
| Mailing Address |
Po Box 31001-1839 Bellevue Internal Medicine Associates Pllc Pasadena CA 91110-1839 |
| Practice Telephone | 4256371022 |
| Practice Fax Number | 4256372011 |
| Mailing Telephone | 4256371022 |
| Mailing Fax Number | 4256372011 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | HENRY JOSEPH WILLIAMS (MEMBER) |
| Authorized Official Telephone | 4256371022 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
601913899 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD00024795 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7093594 | 05 |
| Street Address |
1750 112TH AVE NE SUITE A101 & A102 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459420 | Craig G Wells | Ophthalmology | 1750 112th Ave Ne, Sutie D050, Bellevue, WA 98004-3752 | 2005-07-06 |
| 1366976656 | Daisy Y Wan | Dietitian, Registered | 1750 112th Ave Ne, Bldg 4 Ste E175, Bellevue, WA 98004-3752 | 2017-04-13 |
| 1255871224 | Leslie Renee Merklin-barber | Registered Nurse | 1750 112th Ave Ne, Suite A101, Bellevue, WA 98004-3752 | 2017-02-24 |
| 1770971830 | Over Lake Medical Center | Clinic/Center | 1750 112th Ave Ne, Suite A101, Bellevue, WA 98004-3752 | 2014-12-24 |
| 1457786246 | Christy Pauline Nelson | Nurse Practitioner | 1750 112th Ave Ne, Suite A101, Bellevue, WA 98004-3752 | 2013-09-11 |
| 1821423369 | Jake Alan Marshall | Specialist/Technologist | 1750 112th Ave Ne, Suite D-154, Bellevue, WA 98004-3752 | 2013-09-03 |
| 1932531654 | Kate Ruth Casey | Counselor | 1750 112th Ave Ne, Suite E168, Bellevue, WA 98004-3752 | 2013-08-05 |
| 1881035053 | Christina Davis Winkley | Physician Assistant | 1750 112th Ave Ne, Suite D 050, Bellevue, WA 98004-3752 | 2013-07-16 |
| 1124462387 | Danielle Kathryn Ivanova | Psychiatry & Neurology | 1750 112th Ave Ne, Ste B-102, Bellevue, WA 98004 | 2013-04-18 |
| 1467721498 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 1750 112th Ave Ne, Suite D-050, Bellevue, WA 98004-3752 | 2011-12-20 |
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| 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 Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1407088016 | Daniel Raskind Md Pllc | Internal Medicine | 5320 135th Pl Se, Bellevue, WA 98006-4238 | 2009-08-14 |
| 1649327776 | Benjamin N Pinto | Internal Medicine | 3980 129th Pl Se, B-201, Bellevue, WA 98006-5291 | 2007-01-04 |
| 1497778989 | Henry Joseph Williams | Internal Medicine | 2136 129th Ave Se, Bellevue, WA 98005-3938 | 2006-07-25 |
| 1942525498 | Geriatric Medicine LLC | Internal Medicine | 3980 129th Pl Se, B-201, Bellevue, WA 98006-5291 | 2010-03-27 |
| 1437226750 | Richard A Kaner | Internal Medicine | 11711 Ne 12th St, Suite 2-b, Bellevue, WA 98005-2461 | 2006-11-30 |
| 1518034834 | Daniel S Raskind | Internal Medicine | 1750 112th Ave Ne, Suite A101, Bellevue, WA 98004-3752 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507662 | 6m Geriatrics & Hospital Medicine | Internal Medicine | 620 Terry Ave Unit 202, Seattle, WA 98104-2020 | 2020-01-17 |
| 1164072765 | Vm Provision Care LLC | Internal Medicine | 3640 S Cedar St Ste O, Tacoma, WA 98409-5700 | 2019-09-16 |
| 1285977983 | Martha and Mary Lutheran Services | Internal Medicine | 19160 Front Street Ne, Poulsbo, WA 98370-0127 | 2013-04-01 |
| 1285995365 | Jazmin Ivette Yepez Kuri | Internal Medicine | 1200 N 14th Ave Ste 300, Our Lady of Lourdes Hospital At Pasco, Pasco, WA 99301-4195 | 2012-06-05 |
| 1851684914 | Lissette Ramirez Suero | Internal Medicine | 560 Gage Blvd Ste 203, Kadlec Clinic Senior Health, Richland, WA 99352-8650 | 2011-05-24 |
| 1568751097 | Delia Lee Takagi | Internal Medicine | 560 Gage Blvd Suite 102, Richland, WA 99325 | 2011-04-05 |
| 1780982694 | Shirley Newell | Internal Medicine | 1126 38th Ave E, Seattle, WA 98112-4434 | 2011-03-02 |
| 1497953947 | Diane A. Faran | Internal Medicine | 9040 Jacksonave, Tacoma, WA 98431-2306 | 2007-07-06 |
| 1518164052 | Elaine Liu | Internal Medicine | 4515 Martin Luther King Jr Way S Ste 100, Seattle, WA 98108-2183 | 2007-06-28 |
| 1851596837 | Dawnrenee Cinocco | Internal Medicine | 2100 Se 187th Ave, Vancouver, WA 98683-9740 | 2007-06-19 |
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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.