EASTSIDE MEDICAL GROUP, LLC
NPI 1750709358
Clinic/Center - Ambulatory Surgical in Issaquah, WA

Active since April 01, 2014CLIA 50D2078838 · Waiver
1301 4TH AVE NW, ISSAQUAH, WA 98027(425) 270-3713(425) 295-7557 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastside Medical Group, Llc NPPES

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

EASTSIDE MEDICAL GROUP, LLC (NPI 1750709358) is a healthcare organization registered as an ambulatory surgical in Issaquah, Washington and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Robert Howie, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1750709358
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEASTSIDE MEDICAL GROUP, LLC
Location Address1301 4TH AVE NWIssaquah, WA 98027-9371
Mailing Address1301 4th Ave Nw, Suite 201Issaquah, WA 98027-9371 · (425) 270-3713 · Fax (425) 295-7557
Fax(425) 295-7557
Organization SubpartNo
Authorized OfficialRobert HowieTreasurer · (425) 837-9720
Enumeration DateApril 1, 2014
Last NPPES UpdateJanuary 18, 2017
NPI 1750709358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1301 4TH AVE NW, Issaquah, WA 98027

Accepted Insurance

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 50D2078838

Eastside Medical Group · Issaquah, WA
Active · expires Apr 4, 2028
CLIA Number50D2078838
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 4, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMichael Rizen
Laboratory Phone(425) 270-3713
Laboratory LocationEastside Medical Group1301 4th Ave NW Ste 201, Issaquah, WA 98027
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
450 services274 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
149 services109 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
72 services60 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
21 services19 patients
Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis 67908
This procedure involves the removal of excess tissue, muscle, and membrane from the eyelid to correct drooping or paralysis. It helps improve vision and appearance. The operation is performed under local or general anesthesia, ensuring patient comfort throughout.
21 services12 patients
Transfer of tendon to back of hand 26480
A transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.
12 services11 patients

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Rehabilitation)
1301 4TH AVE NW, SUITE 300
ISSAQUAH, WA 98027
Surgery (Vascular Surgery)
1301 4TH AVE NW, 302
ISSAQUAH, WA 98027
Ophthalmology
1301 4TH AVE NW, SUITE 200
ISSAQUAH, WA 98027
Physical Therapist
1301 4TH AVE NW, SUITE 300
ISSAQUAH, WA 98027
Clinic/Center (Ambulatory Surgical)
1301 4TH AVE NW, STE 301
ISSAQUAH, WA 98027
Physical Therapist
1301 4TH AVE NW, SUITE 300
ISSAQUAH, WA 98027

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 Medical Group, LLC's NPI number?

The NPI number for Eastside Medical Group, LLC is 1750709358. It was assigned to this organization in the NPPES registry on April 1, 2014.

Where is Eastside Medical Group, LLC located?

Eastside Medical Group, LLC is located at 1301 4th Ave NW, Issaquah, WA 98027. The listed phone number is (425) 270-3713.

What is Eastside Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Eastside Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2078838) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eastside Medical Group, LLC accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Eastside Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eastside Medical Group, LLC was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.