NORTHWEST SURGICAL DEVELOPMENT OF BELLEVUE LLC (NPI# 1578970117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578970117 |
Entity Type | Organization |
Organization Name | NORTHWEST SURGICAL DEVELOPMENT OF BELLEVUE LLC |
Other Organization Name | ATHENIX BODY SCULPTING INSTITUTE |
Practice Address |
636 120th Ave Ne Ste 202 Bellevue WA 98005-3028 |
Mailing Address |
65 Enterprise Ste 125 Aliso Viejo CA 92656-2706 |
Practice Telephone | 4254542410 |
Practice Fax Number | 4254542259 |
Mailing Telephone | 9496009931 |
Mailing Fax Number | 9496008029 |
Enumeration Date | 2014-07-15 |
Last Update Date | 2015-02-10 |
Authorized Official Name | MR. JAMES HAEFNER (CEO) |
Authorized Official Telephone | 9496009931 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ASF.FS.60329939 | WA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Athenix Body Sculpting Institute | Doing Business As Name - Organization |
Street Address |
636 120TH AVE NE STE 202 |
City | BELLEVUE |
State | WA |
Zip Code | 98005-3028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801203310 | Athenix Physicians Group Northwest, Pllc | Surgery | 636 120th Ave Ne Ste 202, Bellevue, WA 98005-3028 | 2014-07-16 |
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 | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760808836 | Overlake Reproductive Health Inc Ps. | Clinic/Center | 11232 Ne 15th St, Suite 201, Bellevue, WA 98004-3739 | 2014-03-12 |
1265614523 | Sam Naficy, Md, Ps, Inc | Clinic/Center | 1110 112th Ave Ne, Suite 150, Bellevue, WA 98004-4509 | 2007-11-28 |
1104931039 | Bellegrove Ob/gyn, Inc. Ps | Clinic/Center | 1200 112th Ave Ne Ste C115, Bellevue, WA 98004-3745 | 2006-08-20 |
1992702443 | The Eastside Endoscopy Center LLC | Clinic/Center | 1135 116th Ave Ne, Suite 570, Bellevue, WA 98004-4623 | 2005-06-30 |
1538769302 | Spine Solutions of Green Bay LLC | Clinic/Center | 2595 Development Dr Ste 150, Bellevue, WI 54311-4288 | 2020-10-29 |
1982238465 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2020-02-24 |
1144708819 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-08-03 |
1366884835 | Renaissance Center | Clinic/Center | 1414 116th Ave Ne Ste C, Bellevue, WA 98004-3801 | 2013-07-24 |
1699112144 | Christine E Nygaard, M.d., P.s. | Clinic/Center | 1414 116th Ave Ne Ste C, Bellevue, WA 98004-3801 | 2013-05-23 |
1083955330 | Bellevue Plastic Surgery Center | Clinic/Center | 10047 Main St, Suite 103, Bellevue, WA 98004-6019 | 2013-03-12 |
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.