Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 37 days before observation
Type 2 organization · NPI 1073448130
BLUE SUMMIT MEDICAL GROUP, PC
2084P0800X · BELLEVUE, WA
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 2084P0800X | 2084P0800X | Primary |
| 101YM0800X | 101YM0800X | Additional |
| 103T00000X | 103T00000X | Additional |
| 103TC1900X | 103TC1900X | Additional |
| 207R00000X | 207R00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s