Active NPI
Atsugi LLC
- Skilled Nursing Facility
- Sammamish, WA
National Provider Identifier
1821639717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ATSUGI LLC
- Practice address
- 23815 SE 28TH St
Sammamish, WA 98075 - Phone
- (425) 922-4087
- NPI assigned
- Oct 2, 2019
- 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
- Michael Eugene Dorney, MD
- Title
- Owner
- Phone
- (425) 922-4087
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
23815 SE 28TH St
Sammamish, WA 98075
Mailing address
3020 Issaquah Pine Lake Rd SE # 115
Sammamish, WA 98075-7253
Phone (425) 922-4087
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://login.pointclickcare.com/home/userLogin.xhtml | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569974400000",
"number": "1821639717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 ISSAQUAH PINE LAKE RD SE # 115",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980757253",
"telephone_number": "425-922-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23815 SE 28TH ST",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "98075",
"telephone_number": "425-922-4087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATSUGI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A",
"authorized_official_last_name": "DORNEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-922-4087",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://login.pointclickcare.com/home/userLogin.xhtml",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "805 Front St S",
"city": "Issaquah",
"state": "WA",
"country_code": "US",
"postal_code": "980274205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sammamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.