Eiji Minami

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

AM7833266 Issued in WA

Legal business name

EIJI MINAMI

Practice address

1135 116TH Ave NE
Suite 550
Bellevue, WA 98004-4623

Phone

(425) 688-1916

Fax

(425) 688-1901

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Eiji Minami, MD

Title

Owner

Phone

(425) 688-1916

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1376742734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE",
            "address_2": "SUITE 550",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044623",
            "telephone_number": "425-688-1916",
            "fax_number": "425-688-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE",
            "address_2": "SUITE 550",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044623",
            "telephone_number": "425-688-1916",
            "fax_number": "425-688-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIJI MINAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "MINAMI",
        "authorized_official_first_name": "EIJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-688-1916",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "AM7833266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1120385",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "0064799",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "MI6668",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sepehr Egrari, MD FACS
• Mitra Ehsan, MD
• Evan Eich
• Michelle Kathleen Eichenberger, LMP
• Eric Eidens, M.A.
• Sharon Eiler, LMFT
• Larry William Einspahr, MD
• Eric Andrew Eisen, M.D.
• Andrea Eisner, M.D.
• Victoria Jordana Eisner, LCSW

• Surgery Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.