Overlake Colon & Rectal Clinic, Pllc, NPI 1063688273
Colon & Rectal Surgery Physician in Bellevue, WA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1063688273 |
| NPI Entity Type | Organization |
| Provider Name | Overlake Colon & Rectal Clinic, Pllc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1135 116th Ave Ne, Suite 190, Bellevue, WA, US |
| Provider Mailing Address | Po Box 597, Bellevue, WA, US, 980090597 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MD Mitra Ehsan |
| Official Position | OWNER |
| Phone | 206-669-7639 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Colon & Rectal Surgery Physician |
| Classification | |
| Group | |
| License No. | MD00039612 |
| License State | WA |
| Description | 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 liver, urinary and female reproductive system) involved with primary intestinal disease. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| MD00039612 | WA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 0159746 | WA | L&I | 01 |
| 1135EH | WA | REGENCE | 01 |
| 2185705 | WA | UNITED HEALTH CARE | 01 |
| 1115864 | WA | MEDICAID | 05 |
| 5810380 | WA | AETNA | 01 |
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