NPIMap

Organization Active NPI

Overlake Internal Medicine Associates Inc PS

  • Internal Medicine Physician
  • Bellevue, WA
National Provider Identifier
1407896806
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OVERLAKE INTERNAL MEDICINE ASSOCIATES INC PS
Practice address
1407 116TH Ave NE
Suite 200
Bellevue, WA 98004-3819
Phone
(425) 990-5222
NPI assigned
Jun 7, 2006
Last updated
Jul 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Nghia Giang
Title
Ceo
Phone
(425) 974-7601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1407 116TH Ave NE
Suite 200
Bellevue, WA 98004-3819

Mailing address

PO Box 5845
Portland, OR 97228-5845
Phone (425) 454-5281

Other identifiers 1

IdentifierTypeStateIssuer
G217121200OtherWAMEDICARE

National Provider Directory

National Provider Directory

Locations

1407 116th Ave NE
Ste 200
Bellevue, WA 98004
Phone (425) 467-0150

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1407896806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5845",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972285845",
            "telephone_number": "425-454-5281",
            "fax_number": "425-990-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 116TH AVE NE",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043819",
            "telephone_number": "425-990-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLAKE INTERNAL MEDICINE ASSOCIATES INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "GIANG",
        "authorized_official_first_name": "NGHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-974-7601"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G217121200",
            "state": "WA"
        }
    ],
    "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 5, 2019; 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.