Qliance Medical Group of Wa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

QLIANCE MEDICAL GROUP OF WA

Practice address

7707 SE 27TH St
Suite 104
Mercer Island, WA 98040-2844

Phone

(206) 275-4000

Fax

(206) 913-4710

NPI assigned

Apr 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Garrison Bliss, MDNPI 1760577688

Title

Chief Medical Officer

Phone

(206) 381-3030

Specialties & licenses 1

Addresses

Tax ID family

Qliance Medical Group of Wa4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Qliance Medical Group of Wa

  • Family Medicine Physician
  • Kent, WA
  • NPI 1508182692
  NPD tax ID
• Qliance Medical Group of Washington

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1417194317
  NPD tax ID
• Qliance Medical Group of Washington

  • Clinic/Center
  • Kent, WA
  • NPI 1760847081
  NPD tax ID

Practitioners 1

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

• Garrison Bliss, MD

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1760577688
  NPD (past) Authorized official

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1134445224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 3RD AVE",
            "address_2": "SUITE 810",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981044019",
            "telephone_number": "206-381-3030",
            "fax_number": "206-381-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 SE 27TH ST",
            "address_2": "SUITE 104",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402844",
            "telephone_number": "206-275-4000",
            "fax_number": "206-913-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QLIANCE MEDICAL GROUP OF WA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "GARRISON",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "206-381-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ganga Pingili, PA
• Angel CHI CHI Planells, MS, RDN, FAND
• PNC Podiatry of Washington PLLC
• Lisa Porad, M.S., L.AC
• Chelsey Faith Preston, LMP
• Quality Dermatology Group (de), P.a.
• Hal Cooper Quinn, MD
• Radiology Specialists P a
• Leora Radman
• Kerry Victor Ragain, PHD

• Internal Medicine Physician in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.