Overlake Colon & Rectal Clinic, Pllc in Bellevue - Colon & Rectal Surgery
Overlake Colon & Rectal Clinic, Pllc - NPI 1063688273
Overlake Colon & Rectal Clinic, Pllc is a Colon & Rectal Surgery in Bellevue, Washington. Overlake Colon & Rectal Clinic, Pllc practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Overlake Colon & Rectal Clinic, Pllc is 1063688273. The last update date is 2019-09-04.
Overlake Colon & Rectal Clinic, Pllc's current location address is 1135 116th Ave Ne, Bellevue, Washington. You can contact this provider via phone number 4256467400 and fax number 4256467449. The mailing address for Overlake Colon & Rectal Clinic, Pllc is 1135 116th Ave Ne, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Overlake Colon & Rectal Clinic, Pllc |
|---|---|
| Address | 1135 116th Ave Ne, Bellevue, Washington |
| Phone Number | 4256467400 |
| Fax Number | 4256467449 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ehsan Mitra |
| Credentials | MD |
| Telephone Number | 2066697639 |
NPI Number Detail
| NPI Number | 1063688273 |
|---|---|
| Provider Enumeration Date | 2008-05-07 |
| Last Updated Date | 2019-09-04 |
Provider Mailing Address Detail
| Address | 1135 116th Ave Ne |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980044623 |
| Phone Number | 4256467400 |
| Fax Number | 4256467449 |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | MD00039612 |
|
Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 159746 | WA | L&I | |
| 1135EH | WA | REGENCE | |
| 2185705 | WA | UNITED HEALTH CARE | |
| 1115864 | WA | -- | |
| 5810380 | WA | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Overlake Colon & Rectal Clinic, Pllc by the Centers for Medicare & Medicaid Services?
The Overlake Colon & Rectal Clinic, Pllc has been issued the NPI (National Provider Identifier) 1063688273 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Overlake Colon & Rectal Clinic, Pllc?
The Overlake Colon & Rectal Clinic, Pllc is physically situated at 1135 116Th Ave Ne, in the city of Bellevue, state of WA, with the postal code 980044623.
What is the Overlake Colon & Rectal Clinic, Pllc's area of specialization and corresponding taxonomy classification?
The Overlake Colon & Rectal Clinic, Pllc's specialty field is Colon & Rectal Surgery, and it falls under the taxonomy code 208C00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063688273 to Overlake Colon & Rectal Clinic, Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1063688273 to Overlake Colon & Rectal Clinic, Pllc on 2008-05-07.
When was the information related to Overlake Colon & Rectal Clinic, Pllc most recently updated or refreshed?
The details pertaining to the Overlake Colon & Rectal Clinic, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-09-04.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1104829498
Address: 1416 Crown Drive, Kirksville, MO
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA