Active NPI
Medcare Clinics LTD
- Preferred Provider Organization
- Issaquah, WA
National Provider Identifier
1992759815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- MD00031289
- Legal business name
- MEDCARE CLINICS LTD
- Practice address
- 1490 NW Gilman Blvd
Issaquah, WA 98027-5327 - Phone
- (425) 557-4227
- Fax
- (425) 557-2858
- NPI assigned
- May 22, 2006
- 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
- Dr. Reinier Van Coevorden
- Title
- MD
- Phone
- (425) 557-4227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | MD00031289 | WA | Primary |
Addresses
Primary practice location
1490 NW Gilman Blvd
Issaquah, WA 98027-5327
Mailing address
1490 NW Gilman Blvd
Issaquah, WA 98027-5327
Phone (425) 557-4227
National Provider Directory
National Provider DirectoryLocations
1490 NW Gilman Blvd
Issaquah, WA 98027
Phone (425) 557-4227
1420 NW Gilman Blvd
Issaquah, WA 98027
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Issaquah, WA
- NPI 1760490692
-
- Medical Physician Assistant
- Everett, WA
- NPI 1790024362
-
- Physician Assistant
- Issaquah, WA
- NPI 1518995794
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bellevue, WA
- NPI 1730124231
-
- Medical Physician Assistant
- Issaquah, WA
- NPI 1184758450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196899200000",
"number": "1992759815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 NW GILMAN BLVD",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980275327",
"telephone_number": "425-557-4227",
"fax_number": "425-557-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 NW GILMAN BLVD",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980275327",
"telephone_number": "425-557-4227",
"fax_number": "425-557-2858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDCARE CLINICS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2007-12-06",
"status": "A",
"authorized_official_last_name": "VAN COEVORDEN",
"authorized_official_first_name": "REINIER",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "425-557-4227",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "WA",
"license": "MD00031289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.