Organization Active NPI

Anesthesiology for Outpatients P.C.

  • Specialist
  • Bellevue, WA
National Provider Identifier
1134323389
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
601290315 Issued in WA
Legal business name
ANESTHESIOLOGY FOR OUTPATIENTS P.C.
Practice address
1233 120TH Ave NE
Bellevue, WA 98005-2147
Phone
(425) 644-6096
NPI assigned
Jun 12, 2007
Last updated
Jan 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Vicki A Rosebrock
Title
Off MGR
Phone
(425) 644-6096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 601290315 WA Primary

Addresses

Primary practice location

1233 120TH Ave NE
Bellevue, WA 98005-2147

Mailing address

1233 120TH Ave NE
#C
Bellevue, WA 98005-2147
Phone (425) 644-6096

National Provider Directory

National Provider Directory

Locations

1233 120th Ave NE
Bellevue, WA 98005
Phone (425) 502-8098

1233 120th Ave NE
Ste C
Bellevue, WA 98005

1370 116th Ave NE
Clyde Hill, WA 98004
Phone (425) 454-0199

Practitioners & affiliated clinicians

Practitioners 2

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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1134323389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 120TH AVE NE",
            "address_2": "#C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052147",
            "telephone_number": "425-644-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 120TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052147",
            "telephone_number": "425-644-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIOLOGY FOR OUTPATIENTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "ROSEBROCK",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFF MGR",
        "authorized_official_telephone_number": "425-644-6096"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "601290315",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 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.