DR. BURLEY JAMES PACKWOOD (NPI# 1326239740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326239740 |
| Entity Type | Individual |
| Full Name | DR. BURLEY JAMES PACKWOOD |
| Credential | M.D. |
| Practice Address |
16550 River Rd Leavenworth WA 98826-9219 |
| Practice Telephone | 5097632626 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00014365 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
16550 RIVER RD |
| City | LEAVENWORTH |
| State | WA |
| Zip Code | 98826-9219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164053062 | Upper Valley Cares | Clinic/Center | 225 Prospect Street, Leavenworth, WA 98826 | 2020-01-29 |
| 1942855648 | Gayle Bean Holeton | Dance Therapist | 7098 Icicle Rd., Leavenworth, WA 98826 | 2019-08-08 |
| 1104394824 | Lydia Alice Zajackowski | Chiropractor | 1500 Alpensee Strasse, Leavenworth, WA 98826 | 2018-11-12 |
| 1154766293 | Karly Dawn Swanson | Massage Therapist | 505 Hwy 2 Ste. 100, Leavenworth, WA 98826 | 2013-05-02 |
| 1295905917 | Lynnel Kaye Miller | Massage Therapist | 505 Us Highway 2, Leavenworth, WA 98826 | 2008-03-10 |
| 1457569956 | Mary Jo Digesu Bartholomew | Massage Therapist | 9349 E Leavenworth Rd, Leavenworth, WA 98826 | 2007-05-18 |
| 1609945609 | Lynn A. Chadd | Nurse Practitioner | 283 Us Highway 2, Space C, Leavenworth, WA 98826 | 2006-11-06 |
| 1629163761 | Cascade School District | Local Education Agency (LEA) | 330 Evans Street, Leavenworth, WA 98826 | 2006-10-04 |
| 1033288436 | Thomas A Stanton | Chiropractor | 1500 Alpensee St, Leavenworth, WA 98826-0426 | 2006-11-07 |
| 1770037756 | Diana Runions | Specialist/Technologist | 424 Ski Hill Dr, Leavenworth, WA 98826-1037 | 2016-08-08 |
| Find all providers in zip 98826 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558380386 | Jafar Amini | Radiology | 4101 South 4th St Trafficway, Leavenworth, KS 66048 | 2006-07-19 |
| 1780641779 | Joyce Geneva Moore | Radiology | 1617 Ridge Road, Radiology, Leavenworth, KS 66048 | 2006-04-26 |
| 1518943505 | Lloyd E Hendrix | Radiology | Dwight D Eisenhower Va Medical Center, 4101 4th St. Trafficway, Leavenworth, KS 66048-5014 | 2005-12-21 |
| 1083619076 | Leo Joseph Spittler | Radiology | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325710 | Proliance Surgeons, Inc., P.s. | Radiology | 1101 Madison St Ste 580, Seattle, WA 98104-4305 | 2020-01-07 |
| 1447711544 | Ashkan Jonathan Ahmadian | Radiology | 1959 Ne Pacific Street Radiology Department Rr 210, Seattle, WA 98195-1019 | 2019-03-29 |
| 1639653017 | Radia Imaging Center Holdings LLC | Radiology | 1229 Madison St Ste 900, Seattle, WA 98104-1391 | 2018-09-20 |
| 1427546597 | Kiet Van Vo | Radiology | 1959 Ne Pacific St # 357115, Seattle, WA 98195-0001 | 2018-04-24 |
| 1730605965 | Bellingham Advanced Medical Imaging LLC | Radiology | 1344 King St Ste 101, Bellingham, WA 98229-6215 | 2017-08-18 |
| 1184140477 | Proliance Surgeons, Inc., P.s. | Radiology | 6808 220th St Sw Ste 105, Mountlake Terrace, WA 98043-2187 | 2017-08-17 |
| 1003367863 | Providence Health & Services Washington | Radiology | 4800 College St Se Ste E, Lacey, WA 98503-4389 | 2016-10-17 |
| 1861846057 | Ethan Hua | Radiology | Radiology Department Rr 210 1959 Ne Pacific, Seattle, WA 98195-0001 | 2016-04-14 |
| 1437537354 | Mahmood Albahhar | Radiology | 4245 Roosevelt Way Ne Box 354755, University of Washington Medical Center, Seattle, WA 98105 | 2015-05-12 |
| 1336533991 | Keegan Hovis | Radiology | 1959 Ne Pacific Street Radiology Department, Seattle, WA 98195-3358 | 2015-03-22 |
| Find all providers with the same taxonomy | ||||
| City | LEAVENWORTH |
| Zip Code | 98826 |
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| 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.