Susan Lee Mercer in Bellevue - Family Medicine

Susan Lee Mercer - NPI 1104007343

Susan Lee Mercer is a Family Medicine in Bellevue, Washington. Susan Lee Mercer practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan Lee Mercer is 1104007343. The last update date is 2007-11-15.

Susan Lee Mercer's current location address is 15436 Se 20th Pl, Bellevue, Washington. You can contact this provider via phone number 4257460947 and fax number 4256439292. The mailing address for Susan Lee Mercer is 15436 Se 20th Pl, Bellevue, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Lee Mercer
Address 15436 Se 20th Pl, Bellevue, Washington
Phone Number 4257460947
Fax Number 4256439292
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1104007343
Provider Enumeration Date 2007-11-15
Last Updated Date 2007-11-15

Provider Mailing Address Detail

Address 15436 Se 20th Pl
City Bellevue
State Washington (WA)
Post Code 980076333
Phone Number 4257460947
Fax Number 4256439292

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 1089
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OP00001089 WA LICENSE

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FAQs about Susan Lee Mercer

What is the unique identifier code issued to Susan Lee Mercer by the Centers for Medicare & Medicaid Services (CMS)?

The Susan Lee Mercer has been assigned the NPI (National Provider Identifier) 1104007343. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Susan Lee Mercer's facilities are geographically located?

The facilities of Susan Lee Mercer are physically situated at the following location: 15436 Se 20Th Pl, Bellevue, WA, 980076333.

What is Susan Lee Mercer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Susan Lee Mercer is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did Susan Lee Mercer receive its 1104007343 assignment from the Centers for Medicare & Medicaid Services?

The Susan Lee Mercer was assigned its 1104007343 on 2007-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Susan Lee Mercer most recently updated or revised?

The information pertaining to Susan Lee Mercer, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-15.

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