NPIMap

Organization Active NPI

Northwest Neurological & Neurovascular Services

  • Multi-Specialty Clinic/Center
  • Renton, WA
National Provider Identifier
1093819286
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
MD00040593 Issued in WA
Legal business name
NORTHWEST NEUROLOGICAL & NEUROVASCULAR SERVICES
Practice address
500 SW 39TH St
Suite 150
Renton, WA 98057-4915
Phone
(425) 264-2568
Fax
(425) 264-2569
NPI assigned
Sep 11, 2006
Last updated
Jul 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Aaron C Heide, MDNPI 1891722773
Title
Vascular Neurologist
Phone
(425) 264-2568

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
Multi-Specialty Clinic/Center 261QM1300X MD00040593 WA Primary

Addresses

Primary practice location

500 SW 39TH St
Suite 150
Renton, WA 98057-4915

Mailing address

500 SW 39TH St
Suite 150
Renton, WA 98057-4915
Phone (425) 264-2568

National Provider Directory

National Provider Directory

Locations

500 SW 39th St
Ste 150
Renton, WA 98057
Phone (425) 264-2568

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1093819286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 39TH ST",
            "address_2": "SUITE 150",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574915",
            "telephone_number": "425-264-2568",
            "fax_number": "425-264-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW 39TH ST",
            "address_2": "SUITE 150",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574915",
            "telephone_number": "425-264-2568",
            "fax_number": "425-264-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST NEUROLOGICAL & NEUROVASCULAR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "HEIDE",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VASCULAR NEUROLOGIST",
        "authorized_official_telephone_number": "425-264-2568",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "MD00040593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.