Active NPI
Bellevue Women'S Clinic PLLC
- Obstetrics & Gynecology Physician
- Issaquah, WA
National Provider Identifier
1447548003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 60141544
- Legal business name
- BELLEVUE WOMEN'S CLINIC PLLC
- Practice address
- 22500 SE 64TH PL
Suite 120
Issaquah, WA 98027-8111 - Phone
- (425) 998-3474
- NPI assigned
- Jul 18, 2011
- 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
- Dr. Mabel K Obeng, M.D
- Title
- Physician
- Phone
- (425) 417-2968
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 60141544 | WA | Primary |
Addresses
Primary practice location
22500 SE 64TH PL
Suite 120
Issaquah, WA 98027-8111
Mailing address
7904 110TH Ave SE Apt 207
Newcastle, WA 98056-1684
Phone (425) 998-3474
Other names 1
- Mabel K Obeng PLLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310947200000",
"number": "1447548003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7904 110TH AVE SE APT 207",
"city": "NEWCASTLE",
"state": "WA",
"postal_code": "980561684",
"telephone_number": "425-998-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22500 SE 64TH PL",
"address_2": "SUITE 120",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278111",
"telephone_number": "425-998-3474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLEVUE WOMEN'S CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-18",
"last_updated": "2011-07-18",
"status": "A",
"authorized_official_last_name": "OBENG",
"authorized_official_first_name": "MABEL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "425-417-2968",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "60141544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mabel K Obeng PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.