NPIMap

Organization Active NPI

Bellevue Internal Medicine Associates PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Bellevue, WA
National Provider Identifier
1235206558
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD00024795 Issued in WA
Legal business name
BELLEVUE INTERNAL MEDICINE ASSOCIATES PLLC
Practice address
1750 112TH Ave NE
Suite A101 & A102
Bellevue, WA 98004-3782
Phone
(425) 637-1022
Fax
(425) 637-2011
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Henry Joseph Williams, M.D.
Title
Member
Phone
(425) 637-1022

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0300X MD00024795 WA Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0300X 601913899 WA

Addresses

Primary practice location

1750 112TH Ave NE
Suite A101 & A102
Bellevue, WA 98004-3782

Mailing address

PO Box 31001-1839
Bellevue Internal Medicine Associates PLLC
Pasadena, CA 91110-1839
Phone (425) 637-1022

Other identifiers 1

IdentifierTypeStateIssuer
7093594MedicaidWA

National Provider Directory

National Provider Directory

Locations

1750 112th Ave NE
Ste A102
Bellevue, WA 98004
Phone (425) 637-1022

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1235206558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-1839",
            "address_2": "BELLEVUE INTERNAL MEDICINE ASSOCIATES PLLC",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911101839",
            "telephone_number": "425-637-1022",
            "fax_number": "425-637-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE",
            "address_2": "SUITE A101 & A102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043782",
            "telephone_number": "425-637-1022",
            "fax_number": "425-637-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE INTERNAL MEDICINE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-637-1022",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00024795",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "601913899",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7093594",
            "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 Jun 16, 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.