Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Emerald City Sports & Spine Medicine

Organization Medical Specialty Clinic/Center · NPI 1992074066

Emerald City Sports & Spine Medicine provides Medical Specialty Clinic/Center services in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2011.

Licensed in
WA
In the registry since
2011

Practice location Address checks out

1632 116th Ave NE Ste C
Bellevue, WA 98004-3035 Not confirmed with CMS for 14 years — call before visiting
Phone: (425) 818-0558
Fax: (888) 557-3062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence MD 39116 (WA)

Record details

NPI number1992074066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Garrett Hyman — Physician Owner · (206) 852-8898
Other names Lake Washington Sports & Spine
NPI enumeratedDecember 20, 2011
Last updated in NPPESFebruary 22, 2012
Mailing address6924 Se Allen St, Mercer Island, WA 98040-3357

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