PROHEALTH MEDICAL, LTD. (NPI# 1386048668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386048668 |
| Entity Type | Organization |
| Organization Name | PROHEALTH MEDICAL, LTD. |
| Practice Address |
1233 120th Ave Ne Bellevue WA 98005-2147 |
| Mailing Address |
2623 E Helen St Seattle WA 98112-3619 |
| Practice Telephone | 4255028098 |
| Practice Fax Number | 8665210472 |
| Mailing Telephone | 2069636500 |
| Mailing Fax Number | 8665210472 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | JENA LARIVIERE RIVERS (OWNER) |
| Authorized Official Telephone | 2069636500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1233 120TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730124231 | Jena Lariviere Rivers | Family Medicine | 1233 120th Ave Ne, Suite A, Bellevue, WA 98005-2147 | 2006-06-18 |
| 1558640763 | Kathryn Susanne Galloupe | Counselor | 1233 120th Ave Ne, Suite D, Bellevue, WA 98005-2147 | 2011-08-05 |
| 1134323389 | Anesthesiology for Outpatients P.C. | Specialist | 1233 120th Ave Ne, Bellevue, WA 98005-2147 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592946 | Inner Vitality Pllc | Clinic/Center | 11711 Ne 12th St Ste 1a, Bellevue, WA 98005-2461 | 2020-06-12 |
| 1578057337 | Regenerative Medicine Northwest | Clinic/Center | 1260 116th Ave Ne Ste 200, Bellevue, WA 98004-3800 | 2018-06-15 |
| 1871044867 | Eating Recovery Center of Washington | Clinic/Center | 1601 114th Ave Se, Suite #180, Bellevue, WA 98004-6950 | 2016-10-14 |
| 1770971830 | Over Lake Medical Center | Clinic/Center | 1750 112th Ave Ne, Suite A101, Bellevue, WA 98004-3752 | 2014-12-24 |
| 1790103430 | Dermatology Arts, Pllc | Clinic/Center | 832 102nd Ave Ne, Bellevue, WA 98004-4117 | 2014-03-31 |
| 1295073997 | Bellevue Hyperbarics,pllc | Clinic/Center | 1515 116th Ave Ne, Suite 202, Bellevue, WA 98004-3811 | 2013-01-30 |
| 1629343926 | Rodney J Johnson, Md, Ps, Inc | Clinic/Center | 1600 116th Ave Ne, Suite 302, Bellevue, WA 98004-3014 | 2012-03-20 |
| 1215207204 | Dr. Alex K Oh, Ps | Clinic/Center | 2821 Northup Way, Suite 225, Bellevue, WA 98004-1437 | 2012-01-06 |
| 1992074066 | Emerald City Sports & Spine Medicine | Clinic/Center | 1632 116th Ave Ne, Ste C, Bellevue, WA 98004-3035 | 2011-12-20 |
| 1942522081 | Np Somnologist, Pllc | Clinic/Center | 16320 Se 15th St, Bellevue, WA 98008-5102 | 2010-02-16 |
| Find all providers in BELLEVUE | ||||
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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.