OVER LAKE MEDICAL CENTER
NPI 1770971830
Clinic/Center - Medical Specialty in Bellevue, WA

Q: What is Over Lake Medical Center's NPI number?

The NPI number for Over Lake Medical Center is 1770971830. It was assigned to this organization in the NPPES registry on December 24, 2014.

Q: What is Over Lake Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since December 24, 2014

1750 112TH AVE NE, SUITE A101, BELLEVUE, WA 98004(425) 688-5234 Get Directions Write a Review

NPPES record last updated: December 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Over Lake Medical Center NPPES

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

OVER LAKE MEDICAL CENTER (NPI 1770971830) is a healthcare organization registered as a medical specialty in Bellevue, Washington and active in the NPI registry since December 2014. The organization lists Kier Jordan-keith, Practice Supervisor, as its authorized official.

NPPES Registry Identity

NPI1770971830

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameOVER LAKE MEDICAL CENTER

Location Address1750 112TH AVE NE, SUITE A101Bellevue, WA 98004-3752

Mailing Address1750 112th Ave Ne, Suite A101Bellevue, WA 98004-3752 · (425) 688-5234

Phone(425) 688-5234

Organization SubpartNo

Authorized OfficialKier Jordan-keithPractice Supervisor · (425) 688-5846

Enumeration DateDecember 24, 2014

✔ NPI 1770971830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in WA · AP60481748

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1750 112TH AVE NE, Bellevue, WA 98004

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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.

WORAWAN RATTANASAMPHAN MD

Specialist

1750 112TH AVE NE, SUITE A-101
BELLEVUE, WA 98004

King County (425) 688-5234

SPORTS REACTION CENTER INC

Specialist

1750 112TH AVE NE, SUITE D-154
BELLEVUE, WA 98004

King County (425) 643-9778

TANUSHREE GANGADHAR YALAVATTI DPT

Physical Therapist

1750 112TH AVE NE
BELLEVUE, WA 98004

King County (425) 289-0381

CHARLES D BIRNBACH M.D.

Ophthalmology

1750 112TH AVE NE, SUITE D050
BELLEVUE, WA 98004

King County (206) 215-3850

JULIE TRAN DPT

Physical Therapist

1750 112TH AVE NE
BELLEVUE, WA 98004

King County (425) 289-0381

BELLEVUE INTERNAL MEDICINE ASSOCIATES PLLC

Internal Medicine (Geriatric Medicine)

1750 112TH AVE NE, SUITE A101 & A102
BELLEVUE, WA 98004

King County (425) 637-1022

LESLIE RENEE MERKLIN-BARBER RN

Registered Nurse

1750 112TH AVE NE, SUITE A101
BELLEVUE, WA 98004

King County (425) 688-5879

MONALI SHAH

Physical Therapist

1750 112TH AVE NE
BELLEVUE, WA 98004

King County (425) 289-0381

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 Over Lake Medical Center's NPI number?

The NPI number for Over Lake Medical Center is 1770971830. It was assigned to this organization in the NPPES registry on December 24, 2014.

Where is Over Lake Medical Center located?

Over Lake Medical Center is located at 1750 112th Ave NE Suite A101, Bellevue, WA 98004. The listed phone number is (425) 688-5234.

What is Over Lake Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Over Lake Medical Center was last updated on December 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.