LAKE FOREST PARK MEDICAL CLINIC – NPI #1548222102
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

LAKE FOREST PARK MEDICAL CLINIC is a provider located in LAKE FOREST PARK, WA. NPPES has assigned the NPI number 1548222102 to LAKE FOREST PARK MEDICAL CLINIC on April 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKE FOREST PARK MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is LAKE FOREST PARK CLINIC TR. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on Apr 21, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE FOREST PARK MEDICAL CLINIC below.

NPI Profile for
LAKE FOREST PARK CLINIC TR

NPI Number
1548222102
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKE FOREST PARK CLINIC TR
Doing Business As (dba): LAKE FOREST PARK MEDICAL CLINIC
Primary location
17191 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155-5534
Phone: (206) 365-6768 Fax: (206) 364-5418
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES SCHNEIDER
PRES/CEO
Phone: (206) 368-1700
Updated
Identifiers

Identifiers for LAKE FOREST PARK MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICAREWACJ6346
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.