Active NPI
American Medical Clinic Inc
- Clinic/Center
- Bellevue, WA
National Provider Identifier
1487986360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- MD00030967
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.