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EASTSIDE VASCULAR LLP
NPI 1356471833
Surgery - Vascular Surgery in Bellevue, WA

Active since March 06, 2007
1135 116TH AVE NE STE 220, BELLEVUE, WA 98004(425) 450-7007(425) 450-0026 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastside Vascular Llp NPPES

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

EASTSIDE VASCULAR LLP (NPI 1356471833) is a healthcare organization registered as a vascular surgery in Bellevue, Washington and active in the NPI registry since March 2007. The organization lists Dudley Moorhead, Partner, as its authorized official.

NPPES Registry Identity

NPI1356471833
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameEASTSIDE VASCULAR LLP
Location Address1135 116TH AVE NE STE 220Bellevue, WA 98004-4623
Mailing Address1135 116th Ave Ne Ste 220Bellevue, WA 98004-4623 · (425) 450-7007 · Fax (425) 450-0026
Phone(425) 450-7007
Fax(425) 450-0026
Organization SubpartNo
Authorized OfficialDudley MoorheadPartner · (425) 450-7007
Enumeration DateMarch 6, 2007
Last NPPES UpdateNovember 3, 2009
✔ NPI 1356471833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1135 116TH AVE NE STE 220, Bellevue, WA 98004
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Other Identifiers 8

Medicaid1098326WA
OtherCB3636Railroad Medicare
Medicare UPINA05210WA
Medicare UPINF25817WA
Medicare PING16815WA
Medicaid1371004WA
Medicare PINCB3636
Medicare PINGAB16815WA

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 2

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

DUDLEY T MOORHEAD II MD
Surgery (Vascular Surgery)
1135 116TH AVE NE STE 220
BELLEVUE, WA 98004
King County (425) 450-7007
MARK P. OMBRELLARO MD
Surgery (Vascular Surgery)
1135 116TH AVE NE STE 220
BELLEVUE, WA 98004
King County (425) 450-7007

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 Eastside Vascular LLP's NPI number?

The NPI number for Eastside Vascular LLP is 1356471833. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Eastside Vascular LLP located?

Eastside Vascular LLP is located at 1135 116th Ave NE Ste 220, Bellevue, WA 98004. The listed phone number is (425) 450-7007.

What is Eastside Vascular LLP's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Eastside Vascular LLP was last updated on November 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.