Overlake Hospital Medical Center

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

OVERLAKE HOSPITAL MEDICAL CENTER

Practice address

1035 116TH Ave NE
Bellevue, WA 98004-4604

Phone

(425) 688-5358

Fax

(425) 688-5658

NPI assigned

Dec 4, 2008

Last updated

Dec 4, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

OVERLAKE HOSPITAL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Gary McLaughlin

Title

Cfo

Phone

(425) 688-5355

Specialties & licenses 1

Addresses

Part of

Overlake Hospital

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Overlake Hospital Medical Center

  • General Acute Care Hospital
  • Bellevue, WA
  • NPI 1285848432
  NPPES parent name

Practitioners 1

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.

• Mohammad Hissourou III, MD

  • Radiation Oncology Physician
  • Portland, OR
  • NPI 1538664057
  NPD (past)

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1326283375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044604",
            "telephone_number": "425-688-5358",
            "fax_number": "425-688-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044604",
            "telephone_number": "425-688-5358",
            "fax_number": "425-688-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLAKE HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OVERLAKE HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "425-688-5355"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Overlake Colon & Rectal Clinic, PLLC
• Overlake Eyecare P S
• Overlake Family Dental (Bellevue Overlake Dental)
• Overlake Family Vision, PLLC
• Overlake Hospital Medical Center
• Overlake Imaging Associates PC
• Overlake Internal Medicine Associates Inc PS
• Overlake Internal Medicine Associates Inc., PS
• Overlake Internal Medicine Laboratory
• Overlake Medical Center & Clinics

• Adult Health Nurse Practitioner in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.