# BELLEVUE UROLOGY ASSOCIATES, INC. PS.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BELLEVUE UROLOGY ASSOCIATES, INC PS
- **Other names:** Bellevue Urology Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578754347
- **Legal business name:** BELLEVUE UROLOGY ASSOCIATES, INC PS
- **Authorized official:** ROBERT M WEISSMAN M.D. (M.D. & PRESIDENT)
- **Authorized official phone:** (425) 454-8016

## Contact information

- **Practice address:** 1135 NE 116TH AVE., SUITE 620, BELLEVUE, WA 98004
- **Practice address phone:** (425) 454-8016
- **Practice address fax:** (425) 453-2827
- **Mailing address:** 1135 116TH AVE. NE, SUITE 620, BELLEVUE, WA 98004
- **Mailing address phone:** (425) 454-8016
- **Mailing address fax:** (425) 453-2827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASF.FS.60099928 | WA | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 01/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7108558 | — | WA |