MR. SAMUEL Y SHIU (NPI# 1710970207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710970207 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL Y SHIU |
| Credential | MD |
| Practice Address |
1940 116th Ave Ne # 200 Bellevue WA 98004-3074 |
| Mailing Address |
1940 116th Ave Ne #200 Bellevue WA 98004-3074 |
| Practice Telephone | 4254627333 |
| Practice Fax Number | 4254625641 |
| Mailing Telephone | 4254627333 |
| Mailing Fax Number | 4254625641 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2016-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD32279 | WA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | MD00032279 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1113380 | 05 | |
| WA | RR MEDICARE | 010064233 | 01 |
| Street Address |
1940 116TH AVE NE # 200 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770900847 | Velo Sports Rehab Corp | Chiropractor | 1940 116th Ave Ne, Suite 100, Bellevue, WA 98004-3097 | 2014-03-26 |
| 1861833543 | Ken Pentland | Naturopath | 1940 116th Ave Ne, 201, Bellevue, WA 98004-3097 | 2013-07-10 |
| 1366885584 | Joshua D Moninger | Naturopath | 1940 116th Ave Ne, Ste 201, Bellevue, WA 98004-3097 | 2013-04-08 |
| 1467662213 | Back In Action, Inc. | Chiropractor | 1940 116th Ave Ne, Suite 101, Bellevue, WA 98004-3097 | 2007-05-23 |
| 1992910970 | Brian Scott Esch | Chiropractor | 1940 116th Ave Ne, Suite 101, Bellevue, WA 98004-3097 | 2007-05-11 |
| 1376763433 | Advanced Family Medicine | Podiatrist | 1940 116th Ave Ne, Suite 200, Bellevue, WA 98004-3097 | 2007-04-30 |
| 1275657124 | Ashley Nicole Williams | Massage Therapist | 1940 116th Ave Ne, Suite 100, Bellevue, WA 98004-3097 | 2007-03-18 |
| 1598889503 | Symmetry Physical Therapy Pllc | Physical Therapist | 1940 116th Ave Ne, 100, Bellevue, WA 98004-3011 | 2007-03-16 |
| 1174669832 | Timothy Gordon Paine | Physical Therapist | 1940 116th Ave Ne, 100, Bellevue, WA 98004-3011 | 2007-01-29 |
| 1992860001 | Igor A Novikov | Massage Therapist | 1940 116th Ave Ne, Suite 200, Bellevue, WA 98004-3097 | 2006-12-27 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407134034 | Shane Michael Thomas | General Practice | 4524 173rd Ave Se, Bellevue, WA 98006-6524 | 2011-08-01 |
| 1821309147 | Li Zhai | General Practice | 1406 140th Pl Ne Ste 100, Bellevue, WA 98007-3941 | 2010-07-01 |
| 1275656076 | Daria Marie Davidson | General Practice | 1400 112th Ave Se Ste 100q, Bellevue, WA 98004-6901 | 2007-04-08 |
| 1144885245 | Ashley Anne Triboulet | General Practice | 10655 Ne 4th St Ste 101, Bellevue, WA 98004-5022 | 2019-05-03 |
| 1861918518 | Professional Recreation Organization, Inc. | General Practice | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-08-15 |
| 1831444306 | Barry Weiss | General Practice | 10655 Ne 4th St, Ste 310, Bellevue, WA 98004-5035 | 2012-07-19 |
| 1760737654 | Mark Dedomenico | General Practice | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2012-07-17 |
| 1649551037 | Sage Medical Group | General Practice | 12600 Se 38th St, Suite 130, Bellevue, WA 98006-6105 | 2011-08-30 |
| 1396031100 | Michael Woo, Nd, L.ac. Inc. | General Practice | 2320 130th Ave Ne, Suite 120, Bellevue, WA 98005-1752 | 2011-06-21 |
| 1841420593 | Patrick Phan, M.d., P.s. | General Practice | 2902 112th Ave Se, Bellevue, WA 98004-7528 | 2009-07-15 |
| 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.