Organization Active NPI

Bliss Medical Center

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1073079034
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLISS MEDICAL CENTER
Practice address
4200 Aurora Ave N
Seattle, WA 98103-7308
Phone
(206) 629-0611
Fax
(206) 620-0622
NPI assigned
Feb 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Clinton Lee Bliss, M.D.NPI 1033228655
Title
Owner
Phone
(206) 963-9646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4200 Aurora Ave N
Seattle, WA 98103-7308

Mailing address

4200 Aurora Ave N
Seattle, WA 98103-7308
Phone (206) 629-0611

Other names 1

  • Bliss Medical Professionals PLLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Bliss Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4200 Aurora Ave N
Seattle, WA 98103
Phone (206) 620-0611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1073079034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037308",
            "telephone_number": "206-629-0611",
            "fax_number": "206-620-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037308",
            "telephone_number": "206-629-0611",
            "fax_number": "206-620-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-963-9646",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bliss Medical Professionals PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.