ATHENIX PHYSICIANS GROUP NORTHWEST, PLLC (NPI# 1801203310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801203310 |
Entity Type | Organization |
Organization Name | ATHENIX PHYSICIANS GROUP NORTHWEST, PLLC |
Other Organization Name | ATHENIX BODY SCULPTING INSTITUTE |
Practice Address |
636 120th Ave Ne Ste 202 Bellevue WA 98005-3028 |
Practice Telephone | 4254542410 |
Practice Fax Number | 4254542259 |
Mailing Telephone | 4254542410 |
Mailing Fax Number | 4254542259 |
Enumeration Date | 2014-07-16 |
Last Update Date | 2014-07-16 |
Authorized Official Name | MR. JAMES HAEFNER (ADMINISTRATION) |
Authorized Official Telephone | 9496009931 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD 60033065 | WA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Athenix Body Sculpting Institute | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | ATHENIX PHYSICIANS GROUP NORTHWEST, PLLC | 636 120th Ave Ne, Suite A202, Bellevue, WA 98005-3028 |
Street Address |
636 120TH AVE NE STE 202 |
City | BELLEVUE |
State | WA |
Zip Code | 98005-3028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578970117 | Northwest Surgical Development of Bellevue LLC | Clinic/Center | 636 120th Ave Ne Ste 202, Bellevue, WA 98005-3028 | 2014-07-15 |
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 | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164801189 | Rikesh T. Parikh Md Pllc | Surgery | 1810 116th Ave Ne, Suite 102, Bellevue, WA 98004-3058 | 2015-05-22 |
1750538450 | Rikesh Terence Parikh | Surgery | 1810 116th Ave Ne, Suite 102, Bellevue, WA 98004-3058 | 2008-08-25 |
1972712644 | Sepehr Egrari | Surgery | 2950 Northup Way, Suite 100, Bellevue, WA 98004 | 2007-05-21 |
1811109994 | Michael Leff Md | Surgery | 1600 116th Ave Ne, Sui, Bellevue, WA 98004-3014 | 2007-05-03 |
1831232834 | Fredric Arlen Stern | Surgery | 1370 116th Ave Ne, Ste. 102, Bellevue, WA 98004-3825 | 2007-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982079927 | John Richard Alger | Surgery | 2323 Crystal Springs Rd W, University Place, WA 98466-2822 | 2015-12-02 |
1558752741 | Cole Aesthetic Center | Surgery | 9800 Levin Rd Nw Ste 101, Silverdale, WA 98383-7849 | 2015-02-10 |
1730524596 | Christopher Michael Bates | Surgery | 31852 Pacific Coast Hwy Suite 401, Laguna Beach, WA 92651 | 2013-05-07 |
1538401534 | Sattler Plastic Surgery | Surgery | 6100 219th St Sw Ste 290, Mountlake Terrace, WA 98043-2222 | 2013-03-18 |
1265744585 | Thomas D Gant | Surgery | 9006 Ne 116th Pl, Kirkland, WA 98034-6115 | 2010-07-02 |
1497928691 | Gabriel Plastic Surgery, Ps | Surgery | 505 Ne 87th Ave Ste 250, Vancouver, WA 98664-1965 | 2008-04-08 |
1255481446 | John Anthony Adams | Surgery | 530 S Cowley St Ste 180, Spokane, WA 99202-1316 | 2007-01-11 |
1821154790 | Alexander Gougoutas | Surgery | 1560 N 115th St Ste 206, Seattle, WA 98133-8414 | 2006-12-28 |
1972694743 | Brian H. Windle | Surgery | 7630 115th Pl Ne, Kirkland, WA 98033-6737 | 2006-09-27 |
1417931007 | Todd Michael Willcox | Surgery | 11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499-3078 | 2005-12-06 |
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.