Organization Active NPI

Cascade Heart Clinic, PLLC

  • Cardiovascular Disease Physician
  • Bellevue, WA
National Provider Identifier
1114102944
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00033528 Issued in WA
Legal business name
CASCADE HEART CLINIC, PLLC
Practice address
13033 Bellevue Redmond Rd
Suite 230
Bellevue, WA 98005-2633
Phone
(425) 454-1560
Fax
(425) 457-7107
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Joseph Vincent Condon, M.D.
Title
President
Phone
(425) 454-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD00033528 WA Primary

Addresses

Primary practice location

13033 Bellevue Redmond Rd
Suite 230
Bellevue, WA 98005-2633

Mailing address

13033 Bellevue Redmond Rd
Suite 230
Bellevue, WA 98005-2633
Phone (425) 454-1560

Other identifiers 2

IdentifierTypeStateIssuer
8207482MedicaidWA
8225278MedicaidWA

National Provider Directory

National Provider Directory

Locations

13033 NE Bel Red Rd
Ste 230
Bellevue, WA 98005
Phone (425) 454-1560

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1114102944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13033 BELLEVUE REDMOND RD",
            "address_2": "SUITE 230",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052633",
            "telephone_number": "425-454-1560",
            "fax_number": "425-457-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13033 BELLEVUE REDMOND RD",
            "address_2": "SUITE 230",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052633",
            "telephone_number": "425-454-1560",
            "fax_number": "425-457-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE HEART CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-454-1560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00033528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8207482",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8225278",
            "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 Dec 28, 2007; 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.