Issaquah Medical Group PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ISSAQUAH MEDICAL GROUP PLLC

Practice address

450 NW Gilman Blvd Ste 201
Issaquah, WA 98027-2483

Phone

(425) 391-0705

NPI assigned

May 24, 2007

Last updated

Oct 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael P Hourigan

Title

Clinic Administrator

Phone

(425) 391-0705

Specialties & licenses 1

Addresses

Tax ID family

Issaquah Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Issaquah Medical Group

  • Pediatrics Physician
  • Issaquah, WA
  • NPI 1649316266
  NPD tax ID
• Issaquah Medical Group

  • Family Medicine Physician
  • Issaquah, WA
  • NPI 1912043720
  NPD tax ID

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1578774501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NW GILMAN BLVD STE 201",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NW GILMAN BLVD STE 201",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272483",
            "telephone_number": "425-391-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAQUAH MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "HOURIGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "425-391-0705"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Issaquah Foot & Ankle Specialists, P.L.L.C.
• Issaquah Highlands Counseling Group LLC
• Issaquah Internal Medicine Associates, PLLC (Vicki Rouillard M.D.)
• Issaquah Medical Group
• Issaquah Medical Group
• Issaquah Natural Medicine, Inc (Issaquah Valley Natural Medicine)
• Issaquah Obstetrics and Gynecology PLLC
• Issaquah Operations, LLC (Avamere Rehabilitation of Issaquah)
• Issaquah Physical Therapy, Inc
• Issaquah Plastic Surgery PLLC

• General Practice Physician in Issaquah, WA
• Providers in Issaquah, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.