Organization Active NPI

Medcare Clinics LTD

  • Preferred Provider Organization
  • Issaquah, WA
National Provider Identifier
1992759815
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
MD00031289 Issued in WA
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

Updated by the provider on Dec 6, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.