Active NPI
Bellevue Medical Clinic LLC
- Internal Medicine Physician
- Lakewood, WA
National Provider Identifier
1972165637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BELLEVUE MEDICAL CLINIC LLC
- Practice address
- 8725 S Tacoma Way
Lakewood, WA 98499-4544 - Phone
- (253) 535-5552
- NPI assigned
- Jul 2, 2019
- 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
- Sandy Clemens
- Title
- Contract Coordinator
- Phone
- (206) 538-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
8725 S Tacoma Way
Lakewood, WA 98499-4544
Mailing address
8725 S Tacoma Way
Lakewood, WA 98499-4544
Phone (253) 535-5552
National Provider Directory
National Provider DirectoryLocations
8725 South Tacoma Way
Tacoma, WA 98499
Phone (253) 535-5552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568678400000",
"number": "1972165637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8725 S TACOMA WAY",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984994544",
"telephone_number": "253-535-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8725 S TACOMA WAY",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984994544",
"telephone_number": "253-535-5552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLEVUE MEDICAL CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-02",
"last_updated": "2019-09-17",
"status": "A",
"authorized_official_last_name": "CLEMENS",
"authorized_official_first_name": "SANDY",
"authorized_official_title_or_position": "CONTRACT COORDINATOR",
"authorized_official_telephone_number": "206-538-6300"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.