NPIMap

Organization Active NPI

Healthmax Incorporated

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1265716799
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25608 Issued in WA
Legal business name
HEALTHMAX INCORPORATED
Practice address
320 106TH Ave NE
Suite a
Bellevue, WA 98004-5791
Phone
(206) 362-1111
Fax
(425) 254-1111
NPI assigned
Oct 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Dr. Vernon Scott Cherewatenko, M.D.
Title
Chairman & Ceo
Phone
(206) 362-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25608 WA Primary

Addresses

Primary practice location

320 106TH Ave NE
Suite a
Bellevue, WA 98004-5791

Mailing address

320 106TH Ave NE
Suite a
Bellevue, WA 98004-5791
Phone (206) 362-1111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1265716799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 106TH AVE NE",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045791",
            "telephone_number": "206-362-1111",
            "fax_number": "425-254-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 106TH AVE NE",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045791",
            "telephone_number": "206-362-1111",
            "fax_number": "425-254-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMAX INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "CHEREWATENKO",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHAIRMAN & CEO",
        "authorized_official_telephone_number": "206-362-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "25608",
            "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 Oct 3, 2011; 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.