Bellevue Family Medicine Associates P.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00014573 Issued in WA

Legal business name

BELLEVUE FAMILY MEDICINE ASSOCIATES P.S.

Practice address

1600 116TH Ave NE
Suite #102
Bellevue, WA 98004-3014

Phone

(425) 454-5311

Fax

(425) 454-8188

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Kelly J Pfeiffer

Title

Clinic Administrator

Phone

(425) 454-5311

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1219/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Alice J Coad, ARNP

  • Family Nurse Practitioner
  • Bothell, WA
  • NPI 1225073935
  NPD (past)
• Kiersti Devaney, ARNP

  • Nurse Practitioner
  • Bonney Lake, WA
  • NPI 1073280277
  NPD (past)
• Ho Sun H Suh, M.D.

  • Family Medicine Physician
  • Bellevue, WA
  • NPI 1407878416
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1194886382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE",
            "address_2": "SUITE #102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043014",
            "telephone_number": "425-454-5311",
            "fax_number": "425-454-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE",
            "address_2": "SUITE #102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043014",
            "telephone_number": "425-454-5311",
            "fax_number": "425-454-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE FAMILY MEDICINE ASSOCIATES P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "425-454-5311"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00014573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1508943846",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bellevue Community Services
• Bellevue Dentist
• Bellevue Ear, Nose & Throat Clinic, Inc
• Bellevue Eastsied Orthodontic Center (Dr Keyvan Naficy)
• Bellevue Family Counseling LLC
• Bellevue Gardens LLC (The Gardens at Town Square)
• Bellevue Hand Surgery
• Bellevue Haven Adult Family Home, Inc.
• Bellevue Health Clinic, LLC
• Bellevue Healthcare LLC

• Specialist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.