NPI Code Detail JSON Logo

1598794240 NPI number — BELLEVUE UROLOGY ASSOCIATES INC PS

NPI Number: 1598794240
Health Care Provider/Practitioner: BELLEVUE UROLOGY ASSOCIATES INC PS

Information about “1598794240” NPI (BELLEVUE UROLOGY ASSOCIATES INC PS) exists in 1598794240 in HTML format HTML  |  1598794240 in plain Text format TXT  |  1598794240 in PDF (Portable Document Format) PDF  |  1598794240 in an XML format XML  formats.

NPI Number : 1598794240 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598794240",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BELLEVUE UROLOGY ASSOCIATES INC PS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1135 NE 116TH AVE",
    "SecondLineMailingAddress": "SUITE 620",
    "MailingAddressCityName": "BELLEVUE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98004",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-454-8016",
    "MailingAddressFaxNumber": "425-453-2827",
    "FirstLinePracticeLocationAddress": "1135 NE 116TH AVE",
    "SecondLinePracticeLocationAddress": "SUITE 620",
    "PracticeLocationAddressCityName": "BELLEVUE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98004",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-454-8016",
    "PracticeLocationAddressFaxNumber": "425-453-2827",
    "EnumerationDate": "07/02/2006",
    "LastUpdateDate": "02/17/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WEISSMAN MD",
    "AuthorizedOfficialFirstName": "ROBERT",
    "AuthorizedOfficialMiddleName": "M",
    "AuthorizedOfficialTitle": "MD & PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "425-454-8016",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208800000X",
          "TaxonomyName": "Urology Physician",
          "LicenseNumber": "MD00015152",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208800000X",
          "TaxonomyName": "Urology Physician",
          "LicenseNumber": "MD00022864",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208800000X",
          "TaxonomyName": "Urology Physician",
          "LicenseNumber": "MD00034094",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208800000X",
          "TaxonomyName": "Urology Physician",
          "LicenseNumber": "MD00040391",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208800000X",
          "TaxonomyName": "Urology Physician",
          "LicenseNumber": "MD00022748",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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