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LAKE WASHINGTON SPORTS & SPINE
NPI 1992074066
Clinic/Center - Medical Specialty in Bellevue, WA

Active since December 20, 2011
1632 116TH AVE NE, STE C, BELLEVUE, WA 98004(425) 818-0558(888) 557-3062 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Washington Sports & Spine NPPES

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

LAKE WASHINGTON SPORTS & SPINE (NPI 1992074066) is a healthcare organization registered as a medical specialty in Bellevue, Washington and active in the NPI registry since December 2011. The organization lists Garrett S Hyman, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1992074066
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameEMERALD CITY SPORTS & SPINE MEDICINE
Location Address1632 116TH AVE NE, STE CBellevue, WA 98004-3035
Mailing Address6924 Se Allen StMercer Island, WA 98040-3357 · (206) 852-8898
Phone(425) 818-0558
Fax(888) 557-3062
Organization SubpartNo
Authorized OfficialGarrett S HymanPhysician Owner · (206) 852-8898
Enumeration DateDecember 20, 2011
Last NPPES UpdateFebruary 22, 2012
✔ NPI 1992074066 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 · MD 39116
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).
1632 116TH AVE NE, Bellevue, WA 98004
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Other Names 1

Doing Business AsLake Washington Sports & Spine

Other Identifiers 1

Medicare UPINH64720WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 11

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

BELLEVUE HEART AND VASCULAR CENTER, LLC
Internal Medicine (Cardiovascular Disease)
1632 116TH AVE NE, SUITE D
BELLEVUE, WA 98004
King County (206) 281-8160
BLACKROCK SERVICES INC
Chiropractor
1632 116TH AVE NE, SUITE C
BELLEVUE, WA 98004
King County (425) 285-9304
MR. JAMES ERIC CLARK M.D.
Orthopaedic Surgery
1632 116TH AVE NE, SUITE C
BELLEVUE, WA 98004
King County (425) 462-9800
BELLEVUE BONE & JOINT PHYSICIANS
Orthopaedic Surgery (Sports Medicine)
1632 116TH AVE NE, SUITE C
BELLEVUE, WA 98004
King County (425) 462-9800
NATALIA P NOVOSELOVA LMP
Massage Therapist
1632 116TH AVE NE
BELLEVUE, WA 98004
King County (425) 285-9304
MRS. MARCIA SMITH GORDON ARNP
Nurse Practitioner
1632 116TH AVE NE, SUITE B
BELLEVUE, WA 98004
King County (425) 454-7546
MRS. CARLA MARIA CONTE OT
Occupational Therapist
1632 116TH AVE NE, SUITE C
BELLEVUE, WA 98004
King County (425) 462-9800
DR. STEPHEN BOWEN ANDERSON MD
Specialist
1632 116TH AVE NE, STE A
BELLEVUE, WA 98004
King County (425) 453-9060

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 Emerald City Sports & Spine Medicine's NPI number?

The NPI number for Emerald City Sports & Spine Medicine is 1992074066. It was assigned to this organization in the NPPES registry on December 20, 2011. The provider is doing business as Lake Washington Sports & Spine.

Where is Emerald City Sports & Spine Medicine located?

Emerald City Sports & Spine Medicine is located at 1632 116th Ave NE Ste C, Bellevue, WA 98004. The listed phone number is (425) 818-0558.

What is Emerald City Sports & Spine Medicine's specialty?

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

What insurance does Emerald City Sports & Spine Medicine accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Emerald City Sports & Spine Medicine 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 Emerald City Sports & Spine Medicine was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.