BELLEVUE OBGYN LLC
NPI 1104124247
Obstetrics & Gynecology in Bellevue, WA

Active since March 13, 2011
1515 116TH AVE NE, 205, BELLEVUE, WA 98004(425) 698-1588 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bellevue Obgyn Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELLEVUE OBGYN LLC (NPI 1104124247) is a healthcare organization registered as an obstetrics & gynecology in Bellevue, Washington and active in the NPI registry since March 2011. The organization lists Mark S Fan, Member, as its authorized official.

NPPES Registry Identity

NPI1104124247
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameBELLEVUE OBGYN LLC
Location Address1515 116TH AVE NE, 205Bellevue, WA 98004-3811
Mailing Address1515 116th Ave Ne, Suite 205Bellevue, WA 98004-3811 · (425) 698-1588
Organization SubpartNo
Authorized OfficialMark S FanMember · (425) 698-1588
Enumeration DateMarch 13, 2011
Last NPPES UpdateAugust 10, 2012
NPI 1104124247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in WA · MD60122545
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1515 116TH AVE NE, Bellevue, WA 98004

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1515 116TH AVE NE, SUITE 305
BELLEVUE, WA 98004
Dentist (General Practice)
1515 116TH AVE NE, SUITE 303
BELLEVUE, WA 98004
Dentist (General Practice)
1515 116TH AVE NE, SUITE #305
BELLEVUE, WA 98004
Dentist
1515 116TH AVE NE, SUITE 106
BELLEVUE, WA 98004
Clinic/Center
1515 116TH AVE NE, SUITE 307
BELLEVUE, WA 98004
Specialist
1515 116TH AVE NE, SUITE 300
BELLEVUE, WA 98004
Clinic/Center (Medical Specialty)
1515 116TH AVE NE, SUITE 202
BELLEVUE, WA 98004
Allergy & Immunology (Allergy)
1515 116TH AVE NE, SUITE 207
BELLEVUE, WA 98004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bellevue Obgyn LLC's NPI number?

The NPI number for Bellevue Obgyn LLC is 1104124247. It was assigned to this organization in the NPPES registry on March 13, 2011.

Where is Bellevue Obgyn LLC located?

Bellevue Obgyn LLC is located at 1515 116th Ave NE 205, Bellevue, WA 98004. The listed phone number is (425) 698-1588.

What is Bellevue Obgyn LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Bellevue Obgyn LLC was last updated on August 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.