MR. ILYA VISHEVSKY (NPI# 1063407179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063407179 |
| Entity Type | Individual |
| Full Name | MR. ILYA VISHEVSKY |
| Credential | RDMS |
| Practice Address |
1611 116th Ave Ne Ste 207 Bellevue WA 98004-3063 |
| Mailing Address |
Po Box 33879 Seattle WA 98133-0879 |
| Practice Telephone | 4252355984 |
| Practice Fax Number | 4252266331 |
| Mailing Telephone | 4252355984 |
| Mailing Fax Number | 4252266331 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2008-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
WA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7072663 | 05 |
| Street Address |
1611 116TH AVE NE STE 207 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609863372 | Diagnostic Services, Inc. | Clinic/Center | 1611 116th Ave Ne Ste 207, Bellevue, WA 98004-3063 | 2005-09-28 |
| 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 | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821482340 | Thomas L. Fasnacht | Radiologic Technologist | 17073 Hamlin Rd Ne, Lake Forest Park, WA 98155-5529 | 2015-03-23 |
| 1942643390 | Joseph Stephen Augustyn | Radiologic Technologist | 25114 13th Ave S, Des Moines, WA 98198-8581 | 2013-04-16 |
| 1851698427 | George Akinian | Radiologic Technologist | 1617 Se Talton Ave, Vancouver, WA 98683-3850 | 2011-02-17 |
| 1154632255 | Isabel Bethel | Radiologic Technologist | 23117 52nd Ave S, Kent, WA 98032-3394 | 2010-06-23 |
| 1992036461 | Laurence Albert Robinson | Radiologic Technologist | 426 Se 6th St, College Place, WA 99324-1349 | 2010-01-23 |
| 1548404064 | Advanced Imaging Technologies, Inc. | Radiologic Technologist | 2490 Garlick Dr Ste 102, Richland, WA 99354-1786 | 2009-04-28 |
| 1770763500 | Mark W Merritt | Radiologic Technologist | 945 Nw Ritchie St, Pullman, WA 99163-3115 | 2007-11-08 |
| 1346374709 | Sonodiagnostics, LLC | Radiologic Technologist | 5601 32nd Ave Sw, Seattle, WA 98126-2915 | 2007-03-15 |
| 1255354270 | Out Reach Mobile Imaging | Radiologic Technologist | 11012 Canyon Rd E, Ste 8, Puyallup, WA 98373-4200 | 2006-07-25 |
| 1336762640 | Niy Pierce | Radiologic Technologist | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-05-20 |
| 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.