Active NPI
Aysel K Sanderson, MD
- Specialist
- Bellevue, WA
National Provider Identifier
1376569103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00028277
- Practice address
- 1310 116TH Ave NE
Suite a
Bellevue, WA 98004-3817 - Phone
- (425) 646-5441
- Fax
- (425) 646-9297
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00028277 | WA | Primary |
Addresses
Primary practice location
1310 116TH Ave NE
Suite a
Bellevue, WA 98004-3817
Mailing address
1310 116TH Ave NE
Suite a
Bellevue, WA 98004-3817
Phone (425) 646-5441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00028277 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376569103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 116TH AVE NE",
"address_2": "SUITE A",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043817",
"telephone_number": "425-646-5441",
"fax_number": "425-646-9297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 116TH AVE NE",
"address_2": "SUITE A",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043817",
"telephone_number": "425-646-5441",
"fax_number": "425-646-9297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERSON",
"first_name": "AYSEL",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00028277",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.