PROFESSIONAL RECREATION ORGANIZATION, INC. (NPI# 1508352881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508352881 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL RECREATION ORGANIZATION, INC. |
| Other Organization Name | PRO SPORTS CLUB |
| Practice Address |
4455 148th Ave Ne Bellevue WA 98007-3120 |
| Practice Telephone | 4258694746 |
| Practice Fax Number | 4258695285 |
| Mailing Telephone | 4258694746 |
| Mailing Fax Number | 4258695285 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | MELISSA BURGESS (MEDICAL BILLING & CREDENTIALING) |
| Authorized Official Telephone | 4258956575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
600541508 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PRO Sports Club | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982238465 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2020-02-24 |
| 1144708819 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-08-03 |
| 1245726538 | Professional Recreation Organization, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-07-10 |
| 1861918518 | Professional Recreation Organization, Inc. | General Practice | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-08-15 |
| 1780100438 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-08-15 |
| 1689194359 | Professional Recreation Organization, Inc. | Acupuncturist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-06-23 |
| 1063959427 | Professional Recreation Organization, Inc. | Naturopath | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-01-24 |
| 1235575861 | Professional Recreation Organization, Inc. | Psychologist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2013-05-22 |
| 1619213915 | Professional Recreation Organization, Inc. | Orthopaedic Surgery | 4455 148th Ave Ne, Bellevue, WA 98007 | 2012-12-14 |
| 1558488023 | Professional Recreation Organization, Inc. | Dietitian, Registered | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2007-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PROFESSIONAL RECREATION ORGANIZATION, INC. | 4455 148th Ave Ne, Bellevue, WA 98007-3120 |
| Street Address |
4455 148TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137892 | Pierce Edward Scranton Jr. | Orthopaedic Surgery | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2006-06-03 |
| 1982238465 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2020-02-24 |
| 1821634924 | Lily Irene Nealon | Physical Therapist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2019-11-23 |
| 1841840436 | Galina Borisovna Riabinina | Physical Therapist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2019-09-16 |
| 1023663416 | Micah Jeremiah Armbrust | Physical Therapist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2019-08-03 |
| 1144708819 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-08-03 |
| 1245726538 | Professional Recreation Organization, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-07-10 |
| 1871080945 | Madeline Erin Kilpatrick | Social Worker | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-04-15 |
| 1710496674 | Threasa Andrys | Naturopath | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-09-22 |
| 1861918518 | Professional Recreation Organization, Inc. | General Practice | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487051124 | Seattle Surgical Assisting, Pllc | Obstetrics & Gynecology | 4537 140th Ave Se, Bellevue, WA 98006-2339 | 2014-11-24 |
| 1700055704 | Bellevue Health and Emergency Clinic, Inc. | Obstetrics & Gynecology | 1002 W Mission Ave, Bellevue, NE 68005-3947 | 2008-02-22 |
| 1588220230 | Affiliated Reproductive Health Clinics Inc | Obstetrics & Gynecology | 1002 W Mission Ave, Bellevue, NE 68005-3947 | 2019-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497028047 | Henry Charles Kayser IIi | Obstetrics & Gynecology | 123 Macarthur St, Richland, WA 99354-1631 | 2012-02-13 |
| 1912295726 | Cecil Wilbur Ely II | Obstetrics & Gynecology | 2399 Skyline Way, Ste 202, Anacortes, WA 98221-2987 | 2011-07-13 |
| 1023325115 | Planned Parenthood of Greater Washington and North Idaho | Obstetrics & Gynecology | 3901 W Court, Pasco, WA 99301-2776 | 2010-09-10 |
| 1982870796 | Theresa A Burdick Md LLC | Obstetrics & Gynecology | 801 Broadway Suite 707, Seattle, WA 98122 | 2008-05-01 |
| 1609062074 | Pat J Kulpa Md Ps | Obstetrics & Gynecology | 7282 Stinson Ave, Suite C, Gig Harbor, WA 98335 | 2007-09-19 |
| 1689864852 | Milagros I. Arocho | Obstetrics & Gynecology | 503 First Street South, Suite 1 East, Yelm, WA 98597 | 2007-07-25 |
| 1801914114 | Women's Clinical Research Center, Ps | Obstetrics & Gynecology | 3216 Ne 45th Pl Ste 100, Seattle, WA 98105-4028 | 2007-03-26 |
| 1407907835 | Michael Edward Greer | Obstetrics & Gynecology | 509 Olive Way Ste 1349, Seattle, WA 98101-2549 | 2007-01-13 |
| 1679623912 | Evergreen Womens Speciality Clinic | Obstetrics & Gynecology | 13030-121st. Way Ne, 202, Kirkland, WA 98034-3008 | 2007-01-11 |
| 1407914930 | Peter Brandon | Obstetrics & Gynecology | 5410 Barnes Ave Nw, Seattle, WA 98107-3839 | 2006-12-05 |
| 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.