1. Home
  2. Directory
  3. Washington
  4. Bellevue
  5. Internal Medicine
  6. NPI Profile

EASTSIDE PREMIER MEDICINE PLLC
NPI 1518025618
Internal Medicine in Bellevue, WA

Active since December 04, 2006CLIA 50D1078706 · Waiver
2950 NORTHUP WAY, SUITE 210, BELLEVUE, WA 98004(425) 284-3377(425) 827-1040 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastside Premier Medicine Pllc NPPES

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

EASTSIDE PREMIER MEDICINE PLLC (NPI 1518025618) is a healthcare organization registered as an internal medicine in Bellevue, Washington and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Stacey S. Donlan, Physician, as its authorized official.

NPPES Registry Identity

NPI1518025618
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEASTSIDE PREMIER MEDICINE PLLC
Location Address2950 NORTHUP WAY, SUITE 210Bellevue, WA 98004-1406
Mailing Address2950 Northup Way, Suite 210Bellevue, WA 98004-1406 · (425) 284-3377 · Fax (425) 827-1040
Phone(425) 284-3377
Fax(425) 827-1040
Organization SubpartNo
Authorized OfficialStacey S. DonlanPhysician · (425) 284-3377
Enumeration DateDecember 4, 2006
Last NPPES UpdateDecember 6, 2007
✔ NPI 1518025618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · MD00032729
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2950 NORTHUP WAY, Bellevue, WA 98004
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF88094WA
Other2950DOWA · Regence
Medicare PIN8858397WA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D1078706

Eastside Premier Medicine · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D1078706
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2008
Certificate Expiration DateApril 4, 2028
Laboratory DirectorStacey Donlan, MD
Laboratory Phone(425) 284-3377
Laboratory LocationEastside Premier Medicine2950 Northup Way #210, Bellevue, WA 98004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. SEPEHR EGRARI MD FACS
Surgery (Plastic and Reconstructive Surgery)
2950 NORTHUP WAY, SUITE 100
BELLEVUE, WA 98004
King County (425) 827-7878
DR. GLEN A. CURDA DPM
Podiatrist (Foot & Ankle Surgery)
2950 NORTHUP WAY, SUITE 115
BELLEVUE, WA 98004
King County (425) 893-8100
METROLIANCE FOOT AND ANKLE GROUP
Clinic/Center (Ambulatory Surgical)
2950 NORTHUP WAY, SUITE 115
BELLEVUE, WA 98004
King County (425) 893-8100
METROLIANCE FOOT AND ANKLE GROUP
Podiatrist (Foot & Ankle Surgery)
2950 NORTHUP WAY, SUITE #115
BELLEVUE, WA 98004
King County (425) 893-8100

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 Premier Medicine PLLC's NPI number?

The NPI number for Eastside Premier Medicine PLLC is 1518025618. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Eastside Premier Medicine PLLC located?

Eastside Premier Medicine PLLC is located at 2950 Northup Way Suite 210, Bellevue, WA 98004. The listed phone number is (425) 284-3377.

What is Eastside Premier Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Eastside Premier Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1078706) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastside Premier Medicine PLLC was last updated on December 6, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.