Organization Active NPI

Troy P. Houseworth, M.D., F.a.C.S., PLLC

  • Surgery Physician
  • Bellevue, WA
National Provider Identifier
1881963643
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00041587 Issued in WA
Legal business name
TROY P. HOUSEWORTH, M.D., F.A.C.S., PLLC
Practice address
11711 NE 12TH St
Ste. 1-a
Bellevue, WA 98005-2461
Phone
(425) 454-2883
Fax
(425) 454-0336
NPI assigned
Dec 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Dr. Troy Houseworth, M.D.
Title
Owner
Phone
(845) 988-7567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD00041587 WA Primary

Addresses

Primary practice location

11711 NE 12TH St
Ste. 1-a
Bellevue, WA 98005-2461

Mailing address

11711 NE 12TH St
Ste. 1-a
Bellevue, WA 98005-2461
Phone (425) 454-2883

National Provider Directory

National Provider Directory

Locations

11711 NE 12th St
Ste 1A
Bellevue, WA 98005
Phone (425) 454-9791

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1881963643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST",
            "address_2": "STE. 1-A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461",
            "telephone_number": "425-454-2883",
            "fax_number": "425-454-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST",
            "address_2": "STE. 1-A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461",
            "telephone_number": "425-454-2883",
            "fax_number": "425-454-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY P. HOUSEWORTH, M.D., F.A.C.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "HOUSEWORTH",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-988-7567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00041587",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 23, 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.