OVERLAKE NEUROLOGY
NPI 1730112285
Psychiatry & Neurology - Neurology in Bellevue, WA
- Organization
- Psychiatry & Neurology
- Neurology
About OVERLAKE NEUROLOGY
This page provides the complete NPI Profile along with additional information for Overlake Neurology, a provider established in Bellevue, Washington operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1730112285 assigned on July 2006. The practitioner's primary taxonomy code is 2084N0400X with license number 602-380-699 (WA). The provider is registered as an organization and their NPI record was last updated 16 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 Daniel P. Fosmire M.d. (Partner)
- NPI
- 1730112285 Verify this NPI
- Provider Name
- OVERLAKE NEUROLOGY
- Entity Type
- Organization
- Location Address
- 1135 116TH AVE NE SUITE 200 BELLEVUE, WA 98004
- Location Phone
- (425) 709-7055
- Location Fax
- (425) 709-7066
- Mailing Address
- PO BOX 94568 SEATTLE, WA 98124
- Mailing Phone
- (888) 846-5527
- Mailing Fax
- (607) 324-2369
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-08-2006
- Last Update Date
- 12-03-2010
- Code Navigator
Location Map
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
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 602-380-699
- License State
- WA
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7124977 | MEDICAID (05) | WA | |
| 8802336 | MEDICARE PIN (08) | WA | |
| DC0528 | MEDICARE PIN (08) | WA | |
| 182686 | OTHER (01) | WA | L & I WORKERS COMP GRP # |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730112285, enumerated as an "organization" on July 08, 2006.
The provider is located at 1135 116TH AVE NE SUITE 200 BELLEVUE, WA 98004 and the phone number is (425) 709-7055.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
