DEREK OMORI


Address: 1427 116th Ave Ne, Bellevue, WA 98004-3807
Phone: 4254629800

DEREK OMORI (NPI# 1699143263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699143263
Entity Type Individual
Full Name DEREK OMORI
Credential PA
Practice Address 1427 116th Ave Ne
Bellevue
WA 98004-3807
Mailing Address Po Box 5845
Portland
OR 97228-5845
Practice Telephone 4254629800
Enumeration Date 2015-09-12
Last Update Date 2019-07-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1427 116TH AVE NE
City BELLEVUE
State WA
Zip Code 98004-3807

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144228750 Alan Burchard Brown Orthopaedic Surgery 1427 116th Ave Ne, Bellevue, WA 98004-3807 2005-07-08
1912439373 Overlake Internal Medicine Associates Inc., Ps Orthopaedic Surgery 1427 116th Ave Ne, Bellevue, WA 98004-3807 2017-04-03
1720528870 Kym Fitzgerald Occupational Therapist 1427 116th Ave Ne, Bellevue, WA 98004-3807 2017-03-07
1477901205 Kathrine Manolopoulos Occupational Therapist 1427 116th Ave Ne, Bellevue, WA 98004-3807 2016-06-02
1861840332 Miguel A Escalera Physician Assistant 1427 116th Ave Ne, Bellevue, WA 98004-3807 2016-05-25
1033360482 Bellevue Bone & Joint Physicians Orthopaedic Surgery 1427 116th Ave Ne, Bellevue, WA 98004-3807 2008-10-03
1942223292 Douglas Arthur Patch Orthopaedic Surgery 1427 116th Ave Ne, Bellevue, WA 98004-3807 2006-07-26
1154396570 Eric Theodore Hansen Orthopaedic Surgery 1427 116th Ave Ne, Bellevue, WA 98004-3035 2006-02-20
1023089752 Michael J Battaglia II Orthopaedic Surgery 1427 116th Ave Ne, Bellevue, WA 98004-3807 2006-01-31

Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538557442 Mariam Abdelghany I Physician Assistant 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 2014-12-30
1174899017 Amber Tario Gudas Physician Assistant 1414 116th Ave Ne Ste E, Bellevue, WA 98004-3801 2012-03-26
1003103565 Stefany Jeneifer Cameron Physician Assistant 1750 112th Ave Ne Ste D050, Bellevue, WA 98004 2011-07-06
1770746505 Erik H Suh Md Ps Physician Assistant 2100 116th Ave Ne, Bellevue, WA 98004 2008-07-02
1700099736 Michelle M Berlin Physician Assistant 2206 Longo Dr Ste 107, Bellevue, NE 68005-2977 2007-05-07
1164569315 Kristeen Lee Budreau Physician Assistant 6639 161st Ave Se, Unit B, Bellevue, WA 98006-5687 2007-01-30
1013012491 Joseph A. Stangl Physician Assistant 3802 Raynor Pkwy, Bellevue, NE 68123-6048 2006-09-13
1528088952 Patricia L Lightfoot Physician Assistant 1135 116th Ave Ne Ste 560, Bellevue, WA 98004-4631 2006-07-20
1831176395 Anthony Aaron Meador Physician Assistant 15585 Ne 24th St, Bellevue, WA 98007-3836 2005-12-27
1255338166 Earl R Thompson Physician Assistant 3308 Samson Way, Bellevue, NE 68123-3234 2005-07-07
Find all providers in BELLEVUE

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City BELLEVUE
Zip Code 98004

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Dataset Information

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.

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