ALEXANDER P. DUDETSKY (NPI# 1588687024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588687024 |
| Entity Type | Individual |
| Full Name | ALEXANDER P. DUDETSKY |
| Credential | MD, PH.,D. |
| Practice Address |
15710 Ne 24th Street Suite C Bellevue WA 98008-2444 |
| Mailing Address |
15710 Ne 24th Street Ste C Bellevue WA 98008-2444 |
| Practice Telephone | 4252080026 |
| Practice Fax Number | 4256443868 |
| Mailing Telephone | 4252080026 |
| Mailing Fax Number | 4256443868 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00045027 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 0199258 | 01 |
| WA | 8431082 | 05 |
| Street Address |
15710 NE 24TH STREET SUITE C |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98008-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598941551 | Doctors of Bellevue-redmond, Pllc | Clinic/Center | 15710 Ne 24th Street, Ste C, Bellevue, WA 98008-2444 | 2008-01-21 |
| 1194898379 | Northwest Institute of Cosmetic Dentistry | Dentist | 15710 Ne 24th Street, #b, Bellevue, WA 98008 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528540416 | Rodica Belindean | Nurse's Aide | 3022 167th Ave Ne, Bellevue, WA 98008 | 2018-09-06 |
| 1831600030 | Daily Nutrition for Life LLC | Nutritionist | 15600 Ne 8th St Ste B1-707, Bellevue, WA 98008 | 2017-10-16 |
| 1871003913 | Sara Ann Glatz | Massage Therapist | 51 157th Ave Se, Bellevue, WA 98008 | 2017-10-03 |
| 1336555630 | Elizabeth Cheri Anne Smith | Dentist | 1223 158th Ave Se, Bellevue, WA 98008 | 2014-07-08 |
| 1407269731 | Akiko Kinney | Counselor | 16301 Ne 8th St., Bellevue, WA 98008 | 2014-06-04 |
| 1184042996 | Sara Francine York | Counselor | 16301 Ne 8th St. Ste 150, Puget Sound Child and Family Therapy, Bellevue, WA 98008 | 2014-03-31 |
| 1861819906 | Kimberly Song Truong | Acupuncturist | 15650 Ne 24th Street, Suite C1, Bellevue, WA 98008 | 2014-03-26 |
| 1336414614 | Alison Butler | Massage Therapist | 50 157th Ave Se, Bellevue, WA 98008 | 2012-03-20 |
| 1184998593 | Zynergy Chiropractic | Chiropractor | 15616 Bel-red Rd, Bellevue, WA 98008 | 2012-03-02 |
| 1043516149 | Ricardo Fernandez | Massage Therapist | 16301 Ne8th St Suite280, Bellevue, WA 98008 | 2011-02-07 |
| Find all providers in zip 98008 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1235595083 | Lawrence Loeb | Internal Medicine | 13808 Ne 36th Pl, Bellevue, WA 98005-1414 | 2016-01-10 |
| 1982952750 | Tianhai Guo | Internal Medicine | 1489 158th Pl Ne, Bellevue, WA 98008-2782 | 2012-08-27 |
| 1346504511 | Peien Fan | Internal Medicine | 1135 116th Ave Ne Ste 500, Bellevue, WA 98004-4627 | 2012-07-02 |
| 1801173901 | Kim-thuy T Truong | Internal Medicine | 1231 116th Avenue Ne, Suite 400, Bellevue, WA 98004 | 2011-11-03 |
| 1295971273 | Wilbur G Fiscus II | Internal Medicine | 1264 Glen Aspen Drive, Bellevue, ID 83313-0419 | 2008-12-23 |
| 1033371463 | Suresh Reddy Mereddy | Internal Medicine | 1414 116th Ave Ne Ste F, Bellevue, WA 98004-3801 | 2008-06-26 |
| 1902083587 | Gaurav Aggarwal | Internal Medicine | 11511 Ne 10th St # E460a, Bellevue, WA 98004-8578 | 2008-01-26 |
| 1962689794 | Lara Maria Kierlin | Internal Medicine | 12826 Se 40th Ln Ste 203, Bellevue, WA 98006-4276 | 2008-01-23 |
| 1710161260 | Kutsys Medical Practice Incorporated | Internal Medicine | 1545 116th Ave Ne Ste 104, Bellevue, WA 98004-3813 | 2007-12-19 |
| 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.