NPIMap

Organization Active NPI

Bellevue Heart and Vascular Center, LLC

  • Cardiovascular Disease Physician
  • Bellevue, WA
National Provider Identifier
1023193687
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BELLEVUE HEART AND VASCULAR CENTER, LLC
Practice address
1632 116TH Ave NE
Suite D
Bellevue, WA 98004-3801
Phone
(206) 281-8160
Fax
(206) 448-6473
NPI assigned
Oct 25, 2006
Last updated
Aug 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John K Hynes, M.D.
Title
Medical Director
Phone
(206) 281-8160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

1632 116TH Ave NE
Suite D
Bellevue, WA 98004-3801

Mailing address

2701 1St Ave
Suite 320
Seattle, WA 98121-1123
Phone (206) 281-8160

Other identifiers 1

IdentifierTypeStateIssuer
7123011MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1023193687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 1ST AVE",
            "address_2": "SUITE 320",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211123",
            "telephone_number": "206-281-8160",
            "fax_number": "206-448-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 116TH AVE NE",
            "address_2": "SUITE D",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043801",
            "telephone_number": "206-281-8160",
            "fax_number": "206-448-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE HEART AND VASCULAR CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "HYNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "206-281-8160",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7123011",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.