Active NPI
Overlake Imaging Associates PC
- Diagnostic Radiology Physician
- Bellevue, WA
National Provider Identifier
1902870827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- OVERLAKE IMAGING ASSOCIATES PC
- Practice address
- 1417 116TH Ave NE Ste 212
Bellevue, WA 98004-3821 - Phone
- (425) 502-8362
- NPI assigned
- Feb 15, 2006
- Last updated
- Mar 6, 2013
- 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
- Mark J Pfleger, M.D.
- Title
- President
- Phone
- (425) 502-8362
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | WA | Primary | |
| Vascular & Interventional Radiology Physician | 2085R0204X | WA |
Addresses
Primary practice location
1417 116TH Ave NE Ste 212
Bellevue, WA 98004-3821
Mailing address
PO Box 24226
Seattle, WA 98124-0226
Phone (877) 556-1057
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109450 | Other | WA | L&I |
| 7078454 | Medicaid | WA | |
| CD3333 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1417 116th Ave NE
Ste 212
Bellevue, WA 98004
Phone (425) 467-4053
5708 E Lake Sammamish Pkwy SE
Ste 100
Issaquah, WA 98029
Phone (425) 688-0100
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Diagnostic Radiology Physician
- Mountlake Terrace, WA
- NPI 1043270515
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1225060221
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1861491250
-
- Diagnostic Radiology Physician
- Jackson, WY
- NPI 1508830225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362528000000",
"number": "1902870827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24226",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981240226",
"telephone_number": "877-556-1057",
"fax_number": "800-508-4751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 116TH AVE NE STE 212",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043821",
"telephone_number": "425-502-8362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OVERLAKE IMAGING ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-15",
"last_updated": "2013-03-06",
"status": "A",
"authorized_official_last_name": "PFLEGER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-502-8362",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "109450",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7078454",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CD3333",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
- Overlake Eyecare P S
- Overlake Family Dental (Bellevue Overlake Dental)
- Overlake Family Vision, PLLC
- Overlake Hospital Medical Center
- Overlake Hospital Medical Center
- Overlake Internal Medicine Associates Inc PS
- Overlake Internal Medicine Associates Inc., PS
- Overlake Internal Medicine Laboratory
- Overlake Medical Center & Clinics
- Overlake Medical Center & Clinics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.