Active NPI
Bellevue Health & Emergency Clinic, Inc.
- Gynecology Physician
- Bethesda, MD
National Provider Identifier
1669109161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- BELLEVUE HEALTH & EMERGENCY CLINIC, INC.
- Practice address
- 10401 Old Georgetown Rd Ste 208
Bethesda, MD 20814-1911 - Phone
- (888) 684-3599
- Fax
- (402) 291-4643
- NPI assigned
- Aug 4, 2022
- 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
- Leroy H Carhart Jr., MD
- Title
- Medical Director
- Phone
- (888) 684-3599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
10401 Old Georgetown Rd Ste 208
Bethesda, MD 20814-1911
Mailing address
1002 W Mission Ave
Bellevue, NE 68005-3947
Phone (402) 292-4164
Other names 1
- Wildwood Medical Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659571200000",
"number": "1669109161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 W MISSION AVE",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680053947",
"telephone_number": "402-292-4164",
"fax_number": "402-291-4643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10401 OLD GEORGETOWN RD STE 208",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141911",
"telephone_number": "888-684-3599",
"fax_number": "402-291-4643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLEVUE HEALTH & EMERGENCY CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-04",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A",
"authorized_official_last_name": "CARHART",
"authorized_official_first_name": "LEROY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "888-684-3599",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wildwood Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.