Active NPI
Coho Medical Group, PLLC
- Internal Medicine Physician
- Bellevue, WA
National Provider Identifier
1659775419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- COHO MEDICAL GROUP, PLLC
- Practice address
- 1515 116TH Ave NE
Suite 201
Bellevue, WA 98004-3811 - Phone
- (425) 223-5892
- NPI assigned
- Oct 22, 2014
- 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. Scott Victor Greenspahn, M.D.
- Title
- Member
- Phone
- (425) 223-5892
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | WA | Primary |
Addresses
Primary practice location
1515 116TH Ave NE
Suite 201
Bellevue, WA 98004-3811
Mailing address
1515 116TH Ave NE
Suite 201
Bellevue, WA 98004-3811
Phone (425) 223-5892
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2121769 | Coho Medical Group | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
1515 116th Ave NE
Ste 201
Bellevue, WA 98004
Phone (425) 223-5892
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Kirkland, WA
- NPI 1275147688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516924800000",
"number": "1659775419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 116TH AVE NE",
"address_2": "SUITE 201",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043811",
"telephone_number": "425-223-5892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 116TH AVE NE",
"address_2": "SUITE 201",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043811",
"telephone_number": "425-223-5892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COHO MEDICAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-22",
"last_updated": "2018-01-26",
"status": "A",
"authorized_official_last_name": "GREENSPAHN",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "VICTOR",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "425-223-5892",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "WA",
"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 Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.