NPIMap

Organization Active NPI

Bellevue Cardiology Clinic PLLC

  • Cardiovascular Disease Physician
  • Bellevue, WA
National Provider Identifier
1790712685
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00018978 Issued in WA
Legal business name
BELLEVUE CARDIOLOGY CLINIC PLLC
Practice address
1414 116TH Ave NE
Suite E
Bellevue, WA 98004-3801
Phone
(206) 448-2516
Fax
(206) 448-6473
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Dr. John K HynesNPI 1194759738
Title
Medical Director
Phone
(425) 455-9555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD00018978 WA Primary

Addresses

Primary practice location

1414 116TH Ave NE
Suite E
Bellevue, WA 98004-3801

Mailing address

2701 1St Ave
Suite 120
Seattle, WA 98121-1111
Phone (206) 448-2516

Other identifiers 1

IdentifierTypeStateIssuer
7102486MedicaidWA

National Provider Directory

National Provider Directory

Locations

1400 116th Ave NE
Bellevue, WA 98004
Phone (425) 454-1700

1414 116th Ave NE
Ste E
Bellevue, WA 98004
Phone (425) 454-5311

450 NW Gilman Blvd
Ste 302
Issaquah, WA 98027
Phone (425) 391-8626

2701 1st Ave
Ste 120
Seattle, WA 98121
Phone (360) 217-9056

1730 Minor Ave
Ste 1050
Seattle, WA 98101
Phone (206) 281-8160

550 17th Ave
Ste 100
Seattle, WA 98122
Phone (206) 320-3470

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1790712685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 1ST AVE",
            "address_2": "SUITE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211111",
            "telephone_number": "206-448-2516",
            "fax_number": "206-448-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 116TH AVE NE",
            "address_2": "SUITE E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043801",
            "telephone_number": "206-448-2516",
            "fax_number": "206-448-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE CARDIOLOGY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "HYNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-455-9555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00018978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7102486",
            "state": "WA"
        }
    ],
    "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 Jul 16, 2010; 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.