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OVERLAKE NEUROLOGY
NPI 1730112285
Psychiatry & Neurology - Neurology in Bellevue, WA

Active since July 08, 2006
1135 116TH AVE NE, SUITE 200, BELLEVUE, WA 98004(425) 709-7055(425) 709-7066 Get Directions Write a Review

NPPES record last updated: December 3, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Overlake Neurology NPPES

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

OVERLAKE NEUROLOGY (NPI 1730112285) is a healthcare organization registered as a neurology in Bellevue, Washington and active in the NPI registry since July 2006. The organization lists Daniel P. Fosmire, Partner, as its authorized official.

NPPES Registry Identity

NPI1730112285
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameOVERLAKE NEUROLOGY
Location Address1135 116TH AVE NE, SUITE 200Bellevue, WA 98004-4623
Mailing AddressPo Box 94568Seattle, WA 98124-6868 · (888) 846-5527 · Fax (607) 324-2369
Phone(425) 709-7055
Fax(425) 709-7066
Organization SubpartNo
Authorized OfficialDaniel P. FosmirePartner · (425) 709-7055
Enumeration DateJuly 8, 2006
Last NPPES UpdateDecember 3, 2010
✔ NPI 1730112285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WA · 602-380-699
Definition
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.
1135 116TH AVE NE, Bellevue, WA 98004
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Other Identifiers 4

Medicaid7124977WA
Medicare PIN8802336WA
Medicare PINDC0528WA
Other182686WA · L & I Workers Comp Grp #

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 20

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

JOSEPH W DOUCETTE M.D.
Internal Medicine (Cardiovascular Disease)
1135 116TH AVE NE, SUITE 600
BELLEVUE, WA 98004
King County (425) 454-2656
WASHINGTON IMAGING SERVICES LLC
Specialist
1135 116TH AVE NE, STE 260
BELLEVUE, WA 98004
King County (425) 688-0100
ROANNE R E SELINGER MD
Internal Medicine (Gastroenterology)
1135 116TH AVE NE, #560
BELLEVUE, WA 98004
King County (425) 454-4768
OVERLAKE BREAST IMAGING LLC
Clinic/Center (Radiology)
1135 116TH AVE NE, SUITE 255
BELLEVUE, WA 98004
King County (425) 467-3754
DAVID C MORTON M.D.
Internal Medicine
1135 116TH AVE NE, SUITE 110A
BELLEVUE, WA 98004
King County (425) 289-3100
SHIE-PON TZUNG MD PHD
Internal Medicine (Gastroenterology)
1135 116TH AVE NE, #560
BELLEVUE, WA 98004
King County (425) 454-4768
PROLIANCE SURGEONS INC., P.S.
Orthopaedic Surgery
1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004
King County (425) 455-3600
OVERLAKE MEDICAL TOWER PHARMACY
Pharmacy (Community/Retail Pharmacy)
1135 116TH AVE NE, STE 105
BELLEVUE, WA 98004
King County (425) 688-5958

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 Overlake Neurology's NPI number?

The NPI number for Overlake Neurology is 1730112285. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Overlake Neurology located?

Overlake Neurology is located at 1135 116th Ave NE Suite 200, Bellevue, WA 98004. The listed phone number is (425) 709-7055.

What is Overlake Neurology's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Overlake Neurology was last updated on December 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.