Bellevue Medical Center
NPI 1750754883ActiveOrganization· Physician Assistant· Bellevue, WA
Physician Assistant in Bellevue, Washington, registered in NPPES in November 2015. The authorized official on file is Raymon Kooner, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750754883 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2015 |
| Last updated in NPPES | Nov 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA10004437 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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