SUMMIT HEALTHCARE ALLIANCE PLLC
NPI 1457732315
Pain Medicine - Interventional Pain Medicine in Bellevue, WA

Active since June 16, 2015
12100 NORTHUP WAY, BELLEVUE, WA 98005(425) 774-1538(425) 774-5171 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pain Medicine
  • Interventional Pain Medicine

About SUMMIT HEALTHCARE ALLIANCE PLLC

This page provides the complete NPI Profile along with additional information for Summit Healthcare Alliance Pllc, a provider established in Bellevue, Washington operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1457732315 assigned on June 2015. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jae Lee (Ceo)

NPI
1457732315 Verify this NPI
Provider Name
SUMMIT HEALTHCARE ALLIANCE PLLC
Entity Type
Organization
Location Address
12100 NORTHUP WAY BELLEVUE, WA 98005
Location Phone
(425) 774-1538
Location Fax
(425) 774-5171
Mailing Address
PO BOX 827 BELLEVUE, WA 98009
Mailing Phone
(425) 774-1538
Mailing Fax
(425) 774-5171
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2015
Last Update Date
06-16-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAE LEE

Authorized Official Title
CEO
Authorized Official Phone
(425) 774-5171

Reviews for SUMMIT HEALTHCARE ALLIANCE PLLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
12100 NORTHUP WAY, SUITE A
BELLEVUE, WA 98005
Pathology (Clinical Laboratory Director, Non-physician)
12100 NORTHUP WAY, SUITE A
BELLEVUE, WA 98005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457732315, enumerated as an "organization" on June 16, 2015.

The provider is located at 12100 NORTHUP WAY BELLEVUE, WA 98005 and the phone number is (425) 774-1538.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.