BOSTON MEDICAL GROUP- WASHINGTON, P.C. (NPI# 1598182818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598182818 |
| Entity Type | Organization |
| Organization Name | BOSTON MEDICAL GROUP- WASHINGTON, P.C. |
| Practice Address |
12301 N.e. 10th Place Suite 101 Bellevue WA 98005 |
| Practice Telephone | 4254293382 |
| Practice Fax Number | 4255029078 |
| Mailing Telephone | 4254293382 |
| Mailing Fax Number | 4255029078 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Authorized Official Name | MS. MARIANNE C. LABARBERA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7189814070 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
12301 N.E. 10TH PLACE SUITE 101 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538331665 | Khanh Ngoc Pham | Urology | 1135 116th Ave Ne Ste 620, Bellevue, WA 98004-4636 | 2008-03-28 |
| 1033298674 | Robert M Weissman | Urology | 1135 Ne 116th Ave., Suite 620, Bellevue, WA 98004 | 2006-11-03 |
| 1447348347 | Richard Stuart Pelman | Urology | 3100 Northup Way, Bellevue, WA 98004-1467 | 2006-10-10 |
| 1598794240 | Bellevue Urology Associates Inc Ps | Urology | 1135 Ne 116th Ave, Suite 620, Bellevue, WA 98004 | 2006-07-02 |
| 1952673238 | Northwest Center for Urology | Urology | 1135 116th Ave Ne, Ll160, Bellevue, WA 98004-4629 | 2012-02-02 |
| 1962719302 | Washington Urology Associates, Pllc | Urology | 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 | 2010-09-07 |
| 1649594318 | Executive Urology | Urology | 290 Progress Dr, Suite C, Bellevue, OH 44811-9099 | 2010-03-24 |
| 1801087598 | Susan Kupferman Md Pllc | Urology | 1600 116th Ave Ne, #104, Bellevue, WA 98004-3014 | 2007-08-07 |
| 1083730394 | Wendy Siu | Urology | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2007-03-21 |
| 1730212614 | Adult & Pediatric Urology PC | Urology | 2206 Longo Dr, Ste 105, Bellevue, NE 68005-2977 | 2007-03-13 |
| 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.