Organization Active NPI

American Medical Clinic Inc

  • Clinic/Center
  • Bellevue, WA
National Provider Identifier
1487986360
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD00030967 Issued in WA
Legal business name
AMERICAN MEDICAL CLINIC INC
Practice address
1805 136TH PL NE
Suite 103
Bellevue, WA 98005-2331
Phone
(425) 957-4484
Fax
(425) 957-4575
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. Tariq Ahmed, M.D.
Title
President
Phone
(425) 957-4484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD00030967 WA Primary

Addresses

Primary practice location

1805 136TH PL NE
Suite 103
Bellevue, WA 98005-2331

Mailing address

1805 136TH PL NE
Suite 103
Bellevue, WA 98005-2331
Phone (425) 957-4484

National Provider Directory

National Provider Directory

Locations

1805 136th Pl NE
Ste 103
Bellevue, WA 98005
Phone (425) 957-4484

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1487986360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 136TH PL NE",
            "address_2": "SUITE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052331",
            "telephone_number": "425-957-4484",
            "fax_number": "425-957-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 136TH PL NE",
            "address_2": "SUITE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052331",
            "telephone_number": "425-957-4484",
            "fax_number": "425-957-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-957-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MD00030967",
            "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 Feb 3, 2010; 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.