MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE (NPI# 1336419514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336419514 |
| Entity Type | Organization |
| Organization Name | MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE |
| Practice Address |
1450 5th St Se #4600 Puyallup WA 98372-4602 |
| Mailing Address |
1304 Fawcett Ave Ste 100 Tacoma WA 98402-1900 |
| Practice Telephone | 2538414353 |
| Practice Fax Number | 2535815698 |
| Mailing Telephone | 2537614200 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2018-12-14 |
| Authorized Official Name | DR. DOUGLAS P SEILER (PRESIDENT) |
| Authorized Official Telephone | 2537614200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
602760002 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7144116 | 05 | |
| WA | L&I | 0240786 | 01 |
| Other Name | Type Code |
|---|---|
| Diagnostic Imaging Northwest | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699063354 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 10004 204th Ave E, Suite 2600, Bonney Lake, WA 98391-6535 | 2011-07-15 |
| 1215181482 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 11212 Sunrise Blvd E, #200, Puyallup, WA 98374-8847 | 2008-11-13 |
| 1760636930 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 21110 Sr 410 E, #110, Bonney Lake, WA 98391-8457 | 2008-11-13 |
| 1083802946 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 1201 Pacific Ave, Suite 400, Tacoma, WA 98402-4301 | 2007-10-04 |
| Street Address |
1450 5TH ST SE #4600 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699736942 | Mark Jonathan Snell | Surgery | 1450 5th St Se, Ste 4300, Puyallup, WA 98372-4511 | 2006-03-28 |
| 1699229195 | Lauryn Helmers | Physical Therapist | 1450 5th St Se, Suite 4400, Puyallup, WA 98372-4602 | 2016-08-12 |
| 1629521331 | Bridget C Ralston | Occupational Therapist | 1450 5th St Se, Suite 4400/ Ms 1450-4-pt, Puyallup, WA 98372-4602 | 2016-07-28 |
| 1972988756 | Anne Elizabeth Bailey | Physical Therapist | 1450 5th St Se, Suite 400, Puyallup, WA 98372-4602 | 2015-07-22 |
| 1043617780 | Ashley Marie Scott | Physical Therapist | 1450 5th St Se, Suite 4400, Puyallup, WA 98372-4602 | 2014-11-24 |
| 1841516879 | Lam Phuong Thi Nguyen | Surgery | 1450 5th St Se, Ste 3600, Puyallup, WA 98372-4602 | 2010-04-15 |
| 1053567008 | Archie Adams | Family Medicine | 1450 5th St Se, 1500, Puyallup, WA 98372-4602 | 2008-08-11 |
| 1346342706 | David Hou | Anesthesiology | 1450 5th St Se, #3400, Puyallup, WA 98372 | 2006-09-05 |
| 1134137748 | Paul S Degenfelder | Orthopaedic Surgery | 1450 5th St Se, Ste 4200, Puyallup, WA 98372-4602 | 2006-08-03 |
| 1104845668 | John C Hung | Orthopaedic Surgery | 1450 5th St Se, #4200, Puyallup, WA 98372-4602 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215181482 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 11212 Sunrise Blvd E, #200, Puyallup, WA 98374-8847 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811431752 | Bows-r-bowties | Clinic/Center | 646 Strander Blvd, Tukwila, WA 98188-2923 | 2016-12-12 |
| 1861775249 | 3d Imaging and Diagnosis LLC | Clinic/Center | 5340 Corporate Center Loop Se Ste A, Lacey, WA 98503-5590 | 2011-09-22 |
| 1073773198 | Providence Everett Medical Center | Clinic/Center | 4112 Harbour Pointe Blvd, Suite 100, Mukilteo, WA 98275-4700 | 2008-06-12 |
| 1285850461 | Brain Matters Imaging Centers | Clinic/Center | 1015 8th Ave North, Seattle, WA 98109-3504 | 2007-04-17 |
| 1790822070 | Advanced Open Imaging LLC | Clinic/Center | 19401 40th Ave West, Suite 140, Lynnwood, WA 98036 | 2007-01-30 |
| 1184790032 | Tra-minw, Ps | Clinic/Center | 34515 9th Ave. South, Federal Way, WA 98003 | 2006-11-24 |
| 1356416705 | Peninsula Medical Imaging, Pllc | Clinic/Center | 675 N. Fifth Ave, Suite 2b, Sequim, WA 98382-3201 | 2006-11-21 |
| 1396814166 | Tra-minw, Ps | Clinic/Center | 2502 S Union Ave, Tacoma, WA 98405-1328 | 2006-11-07 |
| 1588775662 | Lynden Medical X-ray LLC | Clinic/Center | 9310 Hammer Rd, Lynden, WA 98264-9530 | 2006-08-31 |
| 1093750614 | Valley Imaging | Clinic/Center | 314 S 11th Ave, Ste B, Yakima, WA 98902-3214 | 2006-06-18 |
| Find all providers with the same taxonomy | ||||
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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.