NPIMap

Organization Active NPI

Family Medicine Associates, PLLC

Doing business as Overlake Family Medicine

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1114010535
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE ASSOCIATES, PLLC
Doing business as
Overlake Family Medicine
Practice address
3080 148TH Ave SE
Suite 115
Bellevue, WA 98007-6420
Phone
(425) 378-8190
Fax
(425) 649-1523
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Andrew Appelbaum, MDNPI 1669565081
Title
Owner/Manageing Partner
Phone
(425) 378-8190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

3080 148TH Ave SE
Suite 115
Bellevue, WA 98007-6420

Mailing address

3080 148TH Ave SE
Suite 115
Bellevue, WA 98007-6420
Phone (425) 378-8190

Other identifiers 2

IdentifierTypeStateIssuer
0160886OtherWALABOR & INDUSTRY NUMBER
7112543MedicaidWA

Other names 1

  • OVERLAKE FAMILY MEDICINE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114010535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 148TH AVE SE",
            "address_2": "SUITE 115",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980076420",
            "telephone_number": "425-378-8190",
            "fax_number": "425-649-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 148TH AVE SE",
            "address_2": "SUITE 115",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980076420",
            "telephone_number": "425-378-8190",
            "fax_number": "425-649-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "APPELBAUM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/MANAGEING PARTNER",
        "authorized_official_telephone_number": "425-378-8190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY NUMBER",
            "identifier": "0160886",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7112543",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OVERLAKE FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.