PROVASCULAR DIAGNOSTIC AND IMAGING PLLC (NPI# 1003252776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003252776 |
| Entity Type | Organization |
| Organization Name | PROVASCULAR DIAGNOSTIC AND IMAGING PLLC |
| Practice Address |
202 N Division St Suite 200 Auburn WA 98001-4939 |
| Practice Telephone | 2537354341 |
| Mailing Telephone | 2537354341 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |
| Authorized Official Name | DENNIS SU (OWNER) |
| Authorized Official Telephone | 2537354341 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
202 N DIVISION ST SUITE 200 |
| City | AUBURN |
| State | WA |
| Zip Code | 98001-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335840 | Mark Flanery | Anesthesiology | 202 N Division St, Auburn, WA 98001-4939 | 2005-06-10 |
| 1053925834 | Marcellis Dodson-smith | Registered Nurse | 202 N Division St, Auburn, WA 98001-4939 | 2020-08-31 |
| 1548885916 | Christopher Charles Linderman | Registered Nurse | 202 N Division St, Auburn, WA 98001-4939 | 2020-06-11 |
| 1891315909 | Gage S Crowe | Nurse's Aide | 202 N Division St, Auburn, WA 98001-4939 | 2020-04-18 |
| 1154882736 | Sherry Wilson | Nurse Practitioner | 202 N Division St, Auburn, WA 98001-4939 | 2019-03-27 |
| 1447721857 | Todd Evan Im | Pharmacist | 202 N Division St, Auburn, WA 98001-4939 | 2018-12-10 |
| 1851899058 | Linh Huynh Libuit | Physician Assistant | 202 N Division St, Auburn, WA 98001-4939 | 2018-01-23 |
| 1194199703 | Stephanie Collins | Student in an Organized Health Care Education/Training Program | 202 N Division St, Auburn, WA 98001-4939 | 2015-11-19 |
| 1467824094 | Multicare Health Systems | Pharmacy | 202 N Division St, Auburn, WA 98001-4939 | 2015-10-22 |
| 1235500224 | Benjamin K Chan | Pharmacist | 202 N Division St, Auburn, WA 98001-4939 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336770403 | Qinghua Zhao | Massage Therapist | 1101 Outlet Collection Way #1324, Auburn, WA 98001 | 2020-01-28 |
| 1841821154 | Sufang Liang | Massage Therapist | 1101 Outlet Collection Way, #1324, Auburn, WA 98001 | 2020-01-27 |
| 1477024537 | Kayla R Kranz | Dietitian, Registered | 202 N. Division Street, Mailstop: 202-c1-ns, Auburn, WA 98001 | 2018-12-16 |
| 1477028033 | Xioaping Liu | Acupuncturist | 201 S Division St Suite F, Auburn, WA 98001 | 2018-10-10 |
| 1831670041 | Debbie Kay Scott | Dental Hygienist | 4005 W Valley Hwy N, Auburn, WA 98001 | 2018-08-25 |
| 1447739537 | Cynthia Ann Kenaston | Registered Nurse | Soundpath Health, 32129 Weyerhaeuser Way S. Suite 201, Federal Way, WA 98001 | 2018-08-09 |
| 1104316447 | Stella Ngozi Igwala | Registered Nurse | 213 Junction Blvd, Algona, WA 98001 | 2018-05-11 |
| 1194222737 | Multicare Health System | Durable Medical Equipment & Medical Supplies | Plaza Two, 202 N Division St, #103, Auburn, WA 98001 | 2018-04-10 |
| 1134638679 | Jane Mburu | Registered Nurse | 29568 54th Court S, Auburn, WA 98001 | 2017-09-27 |
| 1467961219 | Messay A Belachew | Registered Nurse | 29717 48th Ave S, Auburn, WA 98001 | 2017-09-25 |
| Find all providers in zip 98001 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497318588 | Stephanie Sobrepera | Radiology | Radiology Department Rr 210 1959 Ne Pacific Street, Seattle, WA 98195-3450 | 2019-04-15 |
| 1104236322 | Thomas John Kofler | Radiology | 1301 Willard Ave W, Seattle, WA 98119-3460 | 2014-04-28 |
| 1689991655 | Zachariah Kramer | Radiology | 700 Lincoln Street Suite 100, Longview Radiologists, Kelso, WA 98626 | 2010-04-29 |
| 1235368564 | Lakhwant Singh | Radiology | 2916 Nw Bucklin Hill Rd #381, Silverdale, WA 98383 | 2009-07-08 |
| 1841310323 | Timnit Ghermay | Radiology | 1201 Pacific Ave, Suite 400, Tacoma, WA 98402-4301 | 2007-03-30 |
| 1902870827 | Overlake Imaging Associates PC | Radiology | 1417 116th Ave Ne Ste 212, Bellevue, WA 98004-3821 | 2006-02-15 |
| 1740268325 | Mark D. Papenhausen | Radiology | 3216 Norton Ave, Suite 201, Everett, WA 98201-4290 | 2006-01-04 |
| 1942287859 | Louis I. Juravsky | Radiology | 2412 N 43rd St, Seattle, WA 98103-7644 | 2005-12-30 |
| 1811974652 | Thomas Kieran Curry | Radiology | 1450 5th St Se # 220, Puyallup, WA 98372-4602 | 2005-12-22 |
| 1679193205 | Sound Vascular, P.s. | Radiology | 32014 32nd Ave S, Federal Way, WA 98001-9625 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PROVASCULAR DIAGNOSTIC AND IMAGING PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.