Lake Hills Medical Assoc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00015580 Issued in WA

Legal business name

LAKE HILLS MEDICAL ASSOC

Practice address

14858 Lake Hills Blvd
Bellevue, WA 98007-5821

Phone

(208) 816-1332

NPI assigned

Jan 17, 2006

Organization subpart

No

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

Authorized official

Name

Amy L Larson

Title

Office Manager

Phone

(208) 798-8968

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• George Yong-Sup Lee, M.D.

  • Family Medicine Physician
  • Bellevue, WA
  • NPI 1972642130
  NPD (past)
• Jennifer Crowe Tolo, M.D.

  • Family Medicine Physician
  • Bellevue, WA
  • NPI 1922023209
  NPD (past)
• Mulloy G Hansen, M.D

  • Family Medicine Physician
  • Lewiston, ID
  • NPI 1538358635
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1740260892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 BURRELL DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015827",
            "telephone_number": "208-816-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14858 LAKE HILLS BLVD",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075821",
            "telephone_number": "208-816-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HILLS MEDICAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-798-8968"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00015580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7081771",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yixian Lai
• Winnie Laina
• Lake and Lemery, PLLC
• Lake Bellevue Dental Care, Inc
• Lake Hills Acupuncture & Oriental Medicine, PLLC
• Lake Washington Internal Medicine PLLC
• Lake Washington Vascular PLLC
• Jessica Lake
• Samuel Lyon Lake, DDS, MSD
• Lakeside Center for Autism, LLC

• Family Medicine Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.