Overlake Medical Clinics LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OVERLAKE MEDICAL CLINICS LLC

Practice address

1750 112TH Ave NE
Suite A101
Bellevue, WA 98004-3752

Phone

(425) 688-5234

Fax

(425) 688-5756

NPI assigned

Oct 22, 2008

Last updated

Oct 22, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

OVERLAKE MEDICAL CLINICS LLCAs reported in NPPES

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

Authorized official

Name

David Schultz

Title

Coo

Phone

(425) 688-5470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Overlake Medical Clinics, LLC

  • Specialist
  • Bellevue, WA
  • NPI 1801828421

  O20040322001533

  Same enrollment

Part of

Overlake Medical Clinic

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Overlake Medical Center & Clinics

  • General Acute Care Hospital
  • Bellevue, WA
  • NPI 1861432726

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Overlake Medical Clinics, LLC

  • Specialist
  • Bellevue, WA
  • NPI 1801828421
  NPPES parent name

Practitioners 711

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaitlyn Ann Aakre, DPT

  • Physical Therapist
  • Bellevue, WA
  • NPI 1780084897
  NPD
• Lisa J Abel, ARNP

  • Women's Health Nurse Practitioner
  • Bellevue, WA
  • NPI 1609875855
  NPD
• Marissa Lee Abrahams, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1528336021
  NPD
• Muaz M Abudiab, MD

  • Cardiovascular Disease Physician
  • Spokane, WA
  • NPI 1639309875
  NPD
• Kelly Jean Adsero, PA-C

  • Physician Assistant
  • Seattle, WA
  • NPI 1881872463
  NPD
• Kiran Agarwal, MD

  • Internal Medicine Physician
  • Monroe, WA
  • NPI 1710346135
  NPD
• Radha Agrawal, MD

  • Pulmonary Disease Physician
  • Bellevue, WA
  • NPI 1881629798
  NPD
• Douglas Eduardo Aguirre, PA-C

  • Surgical Physician Assistant
  • Tacoma, WA
  • NPI 1548618432
  NPD
• Olabode Lateef Akinsanya, M.D

  • Family Medicine Physician
  • Federal Way, WA
  • NPI 1417394156
  NPD
• Ziad M Alsoufi, MD

  • Hospitalist Physician
  • Kirkland, WA
  • NPI 1760652648
  NPD
• Taddele S. Ambachew, PA-C

  • Medical Physician Assistant
  • Seattle, WA
  • NPI 1992738512
  NPD
• Michael Wongchaowart Ames, MD

  • Hospitalist Physician
  • Bellevue, WA
  • NPI 1255622643
  NPD

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1871745703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3905",
            "address_2": "DEPT 4204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243905",
            "telephone_number": "425-688-5777",
            "fax_number": "425-688-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE",
            "address_2": "SUITE A101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043752",
            "telephone_number": "425-688-5234",
            "fax_number": "425-688-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLAKE MEDICAL CLINICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OVERLAKE MEDICAL CLINICS LLC",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "425-688-5470"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Overlake Internal Medicine Associates Inc., PS
• Overlake Internal Medicine Laboratory
• Overlake Medical Center & Clinics
• Overlake Medical Center & Clinics
• Overlake Medical Center & Clinics
• Overlake Medical Clinics, LLC
• Overlake Medical Tower Pharmacy
• Overlake Neurology
• Overlake Obstetricians & Gynecologist P S
• Overlake Reproductive Health Inc PS. (Overlake Reproductive Health Inc.- Ambulatory Surgical Facility)

• Specialist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.