ISSAQUAH MEDICAL GROUP PLLC – NPI #1578774501
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

ISSAQUAH MEDICAL GROUP PLLC is a provider located in ISSAQUAH, WA. NPPES has assigned the NPI number 1578774501 to ISSAQUAH MEDICAL GROUP PLLC on May 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 19 years ago on Oct 26, 2007. 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 ISSAQUAH MEDICAL GROUP PLLC below.

NPI Profile for
ISSAQUAH MEDICAL GROUP PLLC

NPI Number
1578774501
Enumeration Date

(more than 19 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
ISSAQUAH MEDICAL GROUP PLLC
Primary location
450 NW GILMAN BLVD STE 201
ISSAQUAH, WA 98027-2483
Phone: (425) 391-0705 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL HOURIGAN
CLINIC ADMINISTRATOR
Phone: (425) 391-0705
Updated
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
208D00000X
- General Practice (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.