Summit Healthcare Alliance PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SUMMIT HEALTHCARE ALLIANCE PLLC

Practice address

12100 Northup Way
Bellevue, WA 98005-1920

Phone

(425) 774-1538

Fax

(425) 774-5171

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Jae Lee

Title

Ceo

Phone

(425) 774-5171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1457732315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980090827",
            "telephone_number": "425-774-1538",
            "fax_number": "425-774-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 NORTHUP WAY",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051920",
            "telephone_number": "425-774-1538",
            "fax_number": "425-774-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTHCARE ALLIANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-774-5171"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Elyse Sullivan, OTR/L
• Thomas P Sullivan, M.D.
• Sum of Learning, LLC
• Rosanne Sumalpong
• Summit BHC Seattle LLC
• Summit Sports and Spine PS
• Summit Urgent Care, P.S.
• Summit Urgent Care, P.S.
• Sun Vista Home Care Agency LLC
• Holin Sun

• Interventional Pain Medicine Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Interventional Pain Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.