Organization Active NPI

Washington Urology Associates, PLLC

  • Urology Physician
  • Bellevue, WA
National Provider Identifier
1962719302
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
WASHINGTON UROLOGY ASSOCIATES, PLLC
Practice address
1135 116TH Ave NE
Suite 620
Bellevue, WA 98004-4623
Phone
(425) 454-8016
Fax
(425) 453-2827
NPI assigned
Sep 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Brenda Carter, MBA
Title
Ceo
Phone
(425) 454-8016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1135 116TH Ave NE
Suite 620
Bellevue, WA 98004-4623

Mailing address

PO Box 84454
Seattle, WA 98124-5754
Phone (425) 454-8016

National Provider Directory

National Provider Directory

Locations

751 NE Blakely Dr
#4
Issaquah, WA 98029

12815 120th Ave NE
Ste J
Kirkland, WA 98034
Phone (206) 821-3966

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1962719302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84454",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245754",
            "telephone_number": "425-454-8016",
            "fax_number": "425-453-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE",
            "address_2": "SUITE 620",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044623",
            "telephone_number": "425-454-8016",
            "fax_number": "425-453-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON UROLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-454-8016",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "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 Jan 31, 2017; 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.