EASTSIDE ORTHOPEDICS & SPORTS MEDICINE (NPI# 1518042084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518042084 |
| Entity Type | Organization |
| Organization Name | EASTSIDE ORTHOPEDICS & SPORTS MEDICINE |
| Practice Address |
1601 116th Ave Ne Suite 111 Bellevue WA 98004-3010 |
| Practice Telephone | 4259908300 |
| Practice Fax Number | 4259908311 |
| Mailing Telephone | 4259908300 |
| Mailing Fax Number | 4259908311 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VINCENT SANTORO (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 4256564255 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD00025701 | WA | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EASTSIDE ORTHOPEDICS & SPORTS MEDICINE | 6542 Se Lake Rd Ste 201, Milwaukie, OR 97222 |
| Oregon Corporations, Companies and Business Names | EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC | 6542 Se Lake Rd Ste 201, Milwaukie, OR 97222 |
| Washington State Corporations | EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, PLLC | 1601 116th Ave Ne, Suite #111, Bellevue, WA 98004 |
| Street Address |
1601 116TH AVE NE SUITE 111 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326099482 | Janile Martin | Nurse Practitioner | 1601 116th Ave Ne, Suite 100, Bellevue, WA 98004-3010 | 2006-05-13 |
| 1639534506 | Megan Taylor | Specialist/Technologist | 1601 116th Ave Ne, Suite 101, Bellevue, WA 98004-3010 | 2015-12-20 |
| 1356712632 | Evan Palmer | Physical Therapist | 1601 116th Ave Ne, Suite 101, Bellevue, WA 98004-3010 | 2015-10-13 |
| 1356719215 | Christina Messak | Physical Therapist | 1601 116th Ave Ne, Suite 101, Bellevue, WA 98004-3010 | 2015-09-09 |
| 1356728547 | Andrea Wilson | Massage Therapist | 1601 116th Ave Ne, Ste 111, Bellevue, WA 98004 | 2015-04-27 |
| 1083001176 | Dayna Marie Powers | Massage Therapist | 1601 116th Ave Ne, Ste 111, Bellevue, WA 98004 | 2015-04-16 |
| 1114332848 | Red Cedar Wellness Center, Pllc | Non-Pharmacy Dispensing Site | 1601 116th Ave Ne, Suite 100, Bellevue, WA 98004-3010 | 2014-06-20 |
| 1477984458 | Mardi Mills Lcsw LLC | Social Worker | 1601 116th Ave Ne, Suite 104, Bellevue, WA 98004-3010 | 2013-12-02 |
| 1508102989 | Everett Physical Therapy & Sportsperformance Center Pllc | Clinic/Center | 1601 116th Ave Ne, Suite 101, Bellevue, WA 98004-3010 | 2012-12-12 |
| 1639414147 | Christina Marie Lange | Counselor | 1601 116th Ave Ne, Suite 114, Bellevue, WA 98004-3010 | 2012-12-10 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730686569 | Susan M Bowers | Specialist | 365 118th Ave Se Ste 201, Bellevue, WA 98005-9805 | 2018-04-09 |
| 1346610045 | Michael Rosengrant | Specialist | 10655 Ne 4th Street Suite 101, Bellevue, WA 98004 | 2015-10-07 |
| 1649616673 | Dana Pellegrini | Specialist | 12635 Se 26th Pl, Bellevue, WA 98005-4336 | 2013-05-16 |
| 1891031548 | Will S Fernyhough | Specialist | 10050 Ne 10th St Ste C, Bellevue, WA 98004-4121 | 2012-12-28 |
| 1083968911 | Healing Serenity Therapeutic Massage, LLC | Specialist | 5806 119th Ave Se, Bellevue, WA 98006-3749 | 2012-10-30 |
| 1265706303 | Eugene Robert Butenko | Specialist | 13250 Ne 55th Pl, Bellevue, WA 98005-1029 | 2012-03-07 |
| 1093084816 | Debra Jane Casey | Specialist | 303 145th Pl Ne, Bellevue, WA 98007-4933 | 2011-12-22 |
| 1033487699 | Shirley Ann Leeper-carcione | Specialist | 16610 Lake Hills Blvd, Bellevue, WA 98008-4746 | 2011-12-09 |
| 1821385600 | Jixing Yin | Specialist | 14100 Ne 20th St Ste 201, Bellevue, WA 98007-3727 | 2011-06-30 |
| 1588956445 | Melissa Jayne Fairshter | Specialist | 136 102nd Ave Se, Bellevue, WA 98004-8134 | 2011-05-11 |
| 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.