Active NPI
Bellevue Surgery Assoc PC
- Surgery Physician
- Bellevue, WA
National Provider Identifier
1386843746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00039270
- Legal business name
- BELLEVUE SURGERY ASSOC PC
- 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
- Last updated
- Feb 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adel G Elghazzawy, MD
- Title
- Owner
- Phone
- (425) 688-1916
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00039270 | WA | Primary |
Addresses
Primary practice location
1135 116TH Ave NE
Suite 550
Bellevue, WA 98004-4623
Mailing address
1135 116TH Ave NE
Suite 550
Bellevue, WA 98004-4623
Phone (425) 688-1916
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Surgery Physician
- Bellevue, WA
- NPI 1922076520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203897600000",
"number": "1386843746",
"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": "BELLEVUE SURGERY ASSOC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-16",
"last_updated": "2008-02-25",
"status": "A",
"authorized_official_last_name": "ELGHAZZAWY",
"authorized_official_first_name": "ADEL",
"authorized_official_middle_name": "G",
"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": "MD00039270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
- Bellevue School District
- Bellevue School District
- Bellevue Specialized Dental Care
- Bellevue Sports & Spine Physical Therapy PS (Peak Sports & Spine Physical Therapy)
- Bellevue Sports Medicine Clinic Inc
- Bellevue Urology Associates Inc PS
- Bellevue Urology Associates, Inc. PS. (Bellevue Urology Surgery Center)
- Bellevue Vision Clinic PS
- Bellevue Way Chiropractic, P.S. (Chiropractic USA)
- Bellevue Wellness Group, PS (Bellevue Chiropractic Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.