Jeffrey Bissey, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28595 Issued in WA

Practice address

15418 Main St
Suite 200
Mill Creek, WA 98012-9030

Phone

(425) 225-8002

Fax

(425) 225-8021

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1700840832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15418 MAIN ST",
            "address_2": "SUITE 200",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129030",
            "telephone_number": "425-225-8002",
            "fax_number": "425-225-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSEY",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "28595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016827",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy D Bennett, LMHC CDP
• Todd J Berggren, DDS
• Adam W Berry, D.D.S.
• Danielle Best
• Bill J. Mulliken DDS, P.S.
• BJ Mulliken DDS PLLC
• Brenda Lynn Black, AT,C
• Gwendolyn Black, LPN
• Cleo B Bloomquist, PT
• Bmi DC PS

• Internal Medicine Physician in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.