Organization Active NPI

Overlake Imaging Associates PC

  • Diagnostic Radiology Physician
  • Bellevue, WA
National Provider Identifier
1902870827
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
109450OtherWAL&I
7078454MedicaidWA
CD3333OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.