Bellevue Urology Associates, Inc. PS.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASF.FS.60099928 Issued in WA

Legal business name

BELLEVUE UROLOGY ASSOCIATES, INC. PS.

Practice address

1135 NE 116TH Ave.
Suite 620
Bellevue, WA 98004

Phone

(425) 454-8016

Fax

(425) 453-2827

NPI assigned

Aug 7, 2007

Organization subpart

Yes

Parent organization

BELLEVUE UROLOGY ASSOCIATES, INC PSAs reported in NPPES

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

Authorized official

Name

Robert M Weissman, M.D.

Title

M.D. & President

Phone

(425) 454-8016

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bellevue Urology Surgery Center Doing business as

Part of

Bennevue Urology Assoc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bellevue Urology Associates Inc PS

  • Urology Physician
  • Bellevue, WA
  • NPI 1598794240
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Stuart Pelman, MD

  • Urology Physician
  • Bellevue, WA
  • NPI 1447348347
  NPD (past)
• Martin J Wall, MD

  • Urology Physician
  • Bellevue, WA
  • NPI 1447338579
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1578754347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE. NE",
            "address_2": "SUITE 620",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-454-8016",
            "fax_number": "425-453-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 NE 116TH AVE.",
            "address_2": "SUITE 620",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-454-8016",
            "fax_number": "425-453-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE UROLOGY ASSOCIATES, INC. PS.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLEVUE UROLOGY ASSOCIATES, INC PS",
        "enumeration_date": "2007-08-07",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "M.D. & PRESIDENT",
        "authorized_official_telephone_number": "425-454-8016",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "ASF.FS.60099928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7108558",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Urology Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Yancy Marc Bellis, M.D.

• Ambulatory Surgical Clinic/Center in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.