| Amg Of Washington Pc | |
|
2320 130th Ave Ne Ste 220 Bellevue WA 98005-1718 | |
| (888) 506-1858 | |
| (888) 508-5161 |
| Full Name | Amg Of Washington Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2320 130th Ave Ne Ste 220, Bellevue, Washington |
| Authorized Official Name and Position | Michael J Noonan (PRESIDENT) |
| Authorized Official Contact | 8885061858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amg Of Washington Pc 4045 E Bell Rd Ste 157 Phoenix AZ 85032-2240 Ph: () - | Amg Of Washington Pc 2320 130th Ave Ne Ste 220 Bellevue WA 98005-1718 Ph: (888) 506-1858 |
| NPI Number | 1790385839 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 11/28/2022 |
| Medicare PECOS PAC ID | 2668883240 |
|---|---|
| Medicare Enrollment ID | O20201203001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790385839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael J Noonan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1124166244 PECOS PAC ID: 0648169946 Enrollment ID: I20040315000078 |
| Provider Name | Jon E Welch |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1639285034 PECOS PAC ID: 2062306780 Enrollment ID: I20140520001175 |
| Provider Name | Melissa Dawn Louthain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518112366 PECOS PAC ID: 8224192844 Enrollment ID: I20200612000705 |
| Provider Name | Somaly Sith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033618293 PECOS PAC ID: 5799103529 Enrollment ID: I20210624001589 |
| Provider Name | Kyirsty J Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740679356 PECOS PAC ID: 6103230123 Enrollment ID: I20210713001874 |
| Provider Name | Uman Gahlot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780373399 PECOS PAC ID: 1759749062 Enrollment ID: I20230619001729 |
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