Eastside Surgical Associates, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD00030094 Issued in WA

Legal business name

EASTSIDE SURGICAL ASSOCIATES, PLLC

Practice address

1370 116TH Ave NE,
Suite 209
Bellevue, WA 98004-3825

Phone

(425) 455-4900

Fax

(425) 455-4970

NPI assigned

Jan 30, 2009

Organization subpart

No

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

Authorized official

Name

Sameh Michael Salama, M.D.

Title

Owner

Phone

(425) 455-4900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1033357983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 116TH AVE NE STE 209",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043825",
            "telephone_number": "425-455-4900",
            "fax_number": "425-455-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 116TH AVE NE,",
            "address_2": "SUITE 209",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043825",
            "telephone_number": "425-455-4900",
            "fax_number": "425-455-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "SAMEH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-455-4900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00030094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8180127",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastside Premier Medicine PLLC
• Eastside Psychiatric Services Inc PS
• Eastside Pulmonary Associates Inc PS
• Eastside Recovery Group
• Eastside Rheumatology PLLC
• Eastside Vascular LLP
• Eastside Women'S Counseling
• Easy Access LLC
• Eating Recovery Center of Washington
• Eating Recovery Center of Washington

• Surgery Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.