Organization Active NPI

Bellevue Women'S Clinic PLLC

  • Obstetrics & Gynecology Physician
  • Issaquah, WA
National Provider Identifier
1447548003
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
60141544 Issued in WA
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

Updated by the provider on Jul 18, 2011

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.