Organization Active NPI

Michael a Tasch MD PHD PLLC

  • Nephrology Physician
  • Bellevue, WA
National Provider Identifier
1891071361
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MICHAEL A TASCH MD PHD PLLC
Practice address
2015 116TH Ave NE
Suite B
Bellevue, WA 98004-3018
Phone
(425) 453-8406
Fax
(425) 453-4173
NPI assigned
Oct 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Michael Tasch, MD
Title
Owner
Phone
(425) 453-8406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2015 116TH Ave NE
Suite B
Bellevue, WA 98004-3018

Mailing address

2015 116TH Ave NE
Suite B
Bellevue, WA 98004-3018
Phone (425) 453-8406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1891071361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 116TH AVE NE",
            "address_2": "SUITE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043018",
            "telephone_number": "425-453-8406",
            "fax_number": "425-453-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 116TH AVE NE",
            "address_2": "SUITE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043018",
            "telephone_number": "425-453-8406",
            "fax_number": "425-453-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A TASCH MD PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "TASCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-453-8406",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "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 Feb 1, 2012; 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.