Active NPI
USA Vascular Centers of Bellevue, PLLC
- Vascular Surgery Physician
- Bellevue, WA
National Provider Identifier
1487035952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- USA VASCULAR CENTERS OF BELLEVUE, PLLC
- Practice address
- 1240 116TH Ave NE
Suite B
Bellevue, WA 98004-3815 - Phone
- (224) 246-8042
- Fax
- (224) 246-8042
- NPI assigned
- Jun 10, 2015
- 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
- Yan Katsnelson, MD
- Title
- Owner
- Phone
- (847) 257-1244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
1240 116TH Ave NE
Suite B
Bellevue, WA 98004-3815
Mailing address
4141 Dundee Rd
Northbrook, IL 60062-2129
Phone (847) 257-1244
National Provider Directory
National Provider DirectoryLocations
1240 116th Ave NE
Ste B
Bellevue, WA 98004
Phone (224) 246-8042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433894400000",
"number": "1487035952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 DUNDEE RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622129",
"telephone_number": "847-257-1244",
"fax_number": "224-246-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 116TH AVE NE",
"address_2": "SUITE B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043815",
"telephone_number": "224-246-8042",
"fax_number": "224-246-8042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USA VASCULAR CENTERS OF BELLEVUE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-10",
"last_updated": "2015-06-10",
"status": "A",
"authorized_official_last_name": "KATSNELSON",
"authorized_official_first_name": "YAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-257-1244",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 10, 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.