EASTSIDE NEPHROLOGY AND HYPERTENSION PLLC (NPI# 1538112446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538112446 |
| Entity Type | Organization |
| Organization Name | EASTSIDE NEPHROLOGY AND HYPERTENSION PLLC |
| Practice Address |
11711 Ne 12th St Suite 2 B Bellevue WA 98005-2461 |
| Mailing Address |
13030 121st Way Ne Suite 102 Kirkland WA 98034-3008 |
| Practice Telephone | 4259908866 |
| Practice Fax Number | 4259908085 |
| Mailing Telephone | 4258995111 |
| Mailing Fax Number | 4258995114 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-10-12 |
| Authorized Official Name | DR. PAMILA R KEECH (PHYSICIAN OWNER) |
| Authorized Official Telephone | 4259908866 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7108939 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043259062 | Eastside Nephrology and Hypertension Pllc | Specialist | 13030 121st Way Ne, Suite 102, Kirkland, WA 98034-3008 | 2006-06-05 |
| Street Address |
11711 NE 12TH ST SUITE 2 B |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598114472 | Margret Lyons | Dietitian, Registered | 11711 Ne 12th St, Ste #3a, Bellevue, WA 98005-2461 | 2016-06-10 |
| 1881963643 | Troy P. Houseworth, M.d., F.a.c.s., Pllc | Surgery | 11711 Ne 12th St, Ste. 1-a, Bellevue, WA 98005-2461 | 2011-12-23 |
| 1427349026 | Northwest Podiatry, Pllc | Clinic/Center | 11711 Ne 12th St, Ste 1-b, Bellevue, WA 98005-2461 | 2011-04-29 |
| 1659662401 | Washington Therapy Group, Inc. | Occupational Therapist | 11711 Ne 12th St, Suite 2a, Bellevue, WA 98005-2461 | 2011-04-28 |
| 1053625152 | Martin A Herman Md Ps | Surgery | 11711 Ne 12th St, Suite 1a, Bellevue, WA 98005-2461 | 2010-07-30 |
| 1952532137 | Andrea Nicole Schafer | Physical Therapist | 11711 Ne 12th St, Suite 3a, Bellevue, WA 98005-2461 | 2009-08-05 |
| 1235379264 | Kyle Scott Forbes | Physical Therapist | 11711 Ne 12th St, Suite 3a, Bellevue, WA 98005-2461 | 2009-03-04 |
| 1528222585 | Robert Lynch, Md | Specialist | 11711 Ne 12th St, Suite 1a, Bellevue, WA 98005-2461 | 2008-07-17 |
| 1679761324 | Dr Grabowski PC | Podiatrist | 11711 Ne 12th St, Suite 1b, Bellevue, WA 98005-2461 | 2007-10-09 |
| 1588860621 | Luz E Lopez | Podiatrist | 11711 Ne 12th St, Suite 1-b, Bellevue, WA 98005-2461 | 2007-06-25 |
| Find all providers in the same location | ||||
| 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 | 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.