WELLNESSONE OF EASTGATE, PS (NPI# 1750653374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750653374 |
| Entity Type | Organization |
| Organization Name | WELLNESSONE OF EASTGATE, PS |
| Other Organization Name | WELLNESSONE OF EASTGATE |
| Practice Address |
15100 Se 38th St Suite 305b Bellevue WA 98006-1728 |
| Mailing Address |
Po Box 7028 Bellevue WA 98008-1028 |
| Practice Telephone | 4252890092 |
| Practice Fax Number | 4252890095 |
| Mailing Telephone | 4252890092 |
| Mailing Fax Number | 4252890095 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | DR. STEVEN PAULL THAIN (PRESIDENT) |
| Authorized Official Telephone | 4252890092 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WellnessOne of Eastgate | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881883460 | Wellnessone of Eastgate, Ps | Chiropractor | 15100 Se 38th St, 305b, Bellevue, WA 98006-1728 | 2007-10-18 |
| Street Address |
15100 SE 38TH ST SUITE 305B |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-1728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114082401 | Stefan Richard Black | Chiropractor | 15100 Se 38th St, 305b, Bellevue, WA 98006 | 2006-12-27 |
| 1336677400 | Sarah Haeeun An | Nurse Practitioner | 15100 Se 38th St, Bellevue, WA 98006-1728 | 2017-06-01 |
| 1477095040 | Justin Fernando | Student in an Organized Health Care Education/Training Program | 15100 Se 38th St, Bellevue, WA 98006-1728 | 2016-11-13 |
| 1770946113 | Linneah Mathias | Nurse Practitioner | 15100 Se 38th St, Bellevue, WA 98006-1728 | 2016-04-02 |
| 1992107593 | Gary Shu-hao Chang | Pharmacist | 15100 Se 38th St, Bellevue, WA 98006-1728 | 2014-09-25 |
| 1346650801 | Tina Sharma | Pharmacist | 15100 Se 38th St, Bellevue, WA 98006-1728 | 2014-05-05 |
| 1558793398 | Carey Cade | Pharmacist | 15100 Se 38th St, Bellevue, WA 98006-1728 | 2013-08-03 |
| 1336586429 | Joel Amos Henckel | Pharmacist | 15100 Se 38th St, Bellevue, WA 98006-1728 | 2013-05-29 |
| 1366794885 | Magdalena Urszula Wosik | Pharmacist | 15100 Se 38th St, Bellevue, WA 98006-1728 | 2012-10-08 |
| 1124393400 | Leah Ebensteiner | Massage Therapist | 15100 Se 38th St, #305b, Bellevue, WA 98006 | 2012-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326558800 | Randi S Mcmichael Od Pllc | Clinic/Center | 15600 Ne 8th St # F13a, Bellevue, WA 98008-3927 | 2017-10-10 |
| 1699163709 | Mobile Chiropractic & Massage, Pllc | Clinic/Center | 11111 Ne 8th St, Suite 20, Bellevue, WA 98004-4475 | 2014-12-26 |
| 1629407010 | Abc Pharmacy Inc | Clinic/Center | 15600 Ne 8th St Ste K8, Bellevue, WA 98008-3989 | 2013-11-06 |
| 1407115660 | Hillcrest Home Care Inc. | Clinic/Center | 1902 Harlan Dr, Suite A, Bellevue, NE 68005-6609 | 2012-05-09 |
| 1689871659 | Vitality Chiropractic Center, Inc. | Clinic/Center | 410 Bellevue Way Se Ste 202, Bellevue, WA 98004-6649 | 2007-07-02 |
| 1629288618 | Careage Home Health LLC | Clinic/Center | 14450 Ne 29th Pl, Suite 106, Bellevue, WA 98007-8616 | 2007-05-22 |
| 1992118285 | Sound Sleep Solutions, LLC | Clinic/Center | 14655 Bel Red Rd, Suite #101, Bellevue, WA 98007-3900 | 2014-06-04 |
| 1760751895 | Supportive Therapies, Pllc | Clinic/Center | 3805 108th Ave Ne, Bellevue, WA 98004-7613 | 2011-12-19 |
| 1295051316 | Active Spines Inc. | Clinic/Center | 1530 Bellevue Way Se, Suite C, Bellevue, WA 98004-7110 | 2010-04-14 |
| 1770638389 | Integrated Oriental Medicine, Ps | Clinic/Center | 12715 Bel Red Rd, Suite 204, Bellevue, WA 98005-2627 | 2007-01-24 |
| 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.