NPIMap

Organization Active NPI

Summit Urgent Care, P.S.

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1972973105
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUMMIT URGENT CARE, P.S.
Doing business as
Summit Primary Care
Practice address
3900 Factoria Blvd SE
Suite a
Bellevue, WA 98006-1234
Phone
(425) 903-3141
Fax
(425) 903-3142
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Dr. Anirban Das, D.O.
Title
Medical Director/Physician
Phone
(425) 903-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3900 Factoria Blvd SE
Suite a
Bellevue, WA 98006-1234

Mailing address

3900 Factoria Blvd SE
Suite a
Bellevue, WA 98006-1234
Phone (425) 903-3141

Other names 1

  • Summit Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

3900 Factoria Blvd SE
Ste A
Bellevue, WA 98006
Phone (206) 320-2001

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1972973105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 FACTORIA BLVD SE",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061234",
            "telephone_number": "425-903-3141",
            "fax_number": "425-903-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FACTORIA BLVD SE",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061234",
            "telephone_number": "425-903-3141",
            "fax_number": "425-903-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT URGENT CARE, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "ANIRBAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PHYSICIAN",
        "authorized_official_telephone_number": "425-903-3141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 30, 2015; 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.