PACIFIC NORTHWEST RADIOLOGY LLC (NPI# 1376762526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376762526 |
| Entity Type | Organization |
| Organization Name | PACIFIC NORTHWEST RADIOLOGY LLC |
| Practice Address |
103 Fram St Petersburg AK 99833 |
| Mailing Address |
Po Box 26570 Fresno CA 93729-6570 |
| Practice Telephone | 9077724291 |
| Mailing Telephone | 5416877134 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BURT LOESSBERG (ADMINISTRATOR) |
| Authorized Official Telephone | 5416877134 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
314344 | AK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992975122 | Pacific Northwest Radiology LLC | Radiology | 310 Bennett St, Wrangell, AK 99929 | 2008-03-04 |
| 1528284387 | Pacific Northwest Radiology LLC | Radiology | 12175 Glacier Hwy, Unit E 203, Juneau, AK 99801-8630 | 2007-04-18 |
| 1306011473 | Pacific Northwest Radiology LLC | Radiology | 602 Chase Avenue, Cordova, AK 99574-0160 | 2008-04-29 |
| 1972729762 | Pacific Northwest Radiology LLC | Radiology | 209 Moller Ave, Sitka, AK 99835-7142 | 2007-04-18 |
| Street Address |
103 FRAM ST |
| City | PETERSBURG |
| State | AK |
| Zip Code | 99833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255477410 | Rodney L Anderson | Chiropractor | 103 Fram St, Petersburg, AK 99833 | 2007-01-29 |
| 1346536505 | Cortney Nicole Hess | Family Medicine | 103 Fram St, Petersburg Medical Center, Petersburg, AK 99833 | 2011-06-24 |
| 1699090183 | Yvette C Boggs | Registered Nurse | 103 Fram St, Petersburg, AK 99833 | 2010-03-29 |
| 1639395072 | Jennifer Hyer | Acupuncturist | 103 Fram St, Petersburg, AK 99833-0589 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720713 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 202 2nd & Gjoa Street, Petersburg, AK 99833 | 2020-01-30 |
| 1710518006 | Troy Carl Larson | Behavior Technician | 200 Fram Street, Petersburg, AK 99833 | 2020-01-27 |
| 1770128316 | Brenda Louise | Assisted Living Facility | 206 S 2nd, Petersburg, AK 99833 | 2019-11-07 |
| 1861055337 | Ashley Kawashima | Counselor | 100 Fram St., Petersburg, AK 99833 | 2019-04-19 |
| 1932762499 | Mindy Lopez | Rehabilitation Counselor | 1016 Lake Street, Petersburg, AK 99833 | 2019-04-19 |
| 1760921753 | Patrick Sessa | Social Worker | 201 N Nordic Dr., Petersburg, AK 99833 | 2017-02-23 |
| 1992151294 | Bradee Ann Luhr | Physical Therapist | 244 Mitkof Highway, Petersburg, AK 99833 | 2016-05-05 |
| 1891158267 | Lina Kotsoeva | Counselor | 226 S Nordic Dr, Petersburg, AK 99833 | 2016-04-01 |
| 1447623137 | Pacific Wings, LLC | Air Carrier | 1500 Haugen Drive, Petersburg, AK 99833 | 2015-11-04 |
| 1366857088 | Amanda Lemiere Taylor | Social Worker | 201 N Nordic Dr, Petersburg, AK 99833 | 2014-06-23 |
| Find all providers in zip 99833 | ||||
| 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 |
|---|---|---|---|---|
| 1619437373 | Iv Radiology Medical Group | Radiology | 9178 Eagle River Ln, Eagle River, AK 99577-6819 | 2019-03-20 |
| 1316328263 | Telerad Account Management of Alaska LLC | Radiology | 3868 N Forestwood Dr, Palmer, AK 99645-9669 | 2015-06-17 |
| 1386986917 | Elaine Clark Pigman | Radiology | Alaska Radiology Associates, 3650 Piper St. Suite A, Anchorage, AK 99508 | 2013-03-21 |
| 1396011300 | Alexander Glen Wright | Radiology | 3650 Piper Street Ste A, Anchorage, AK 99508 | 2012-03-25 |
| 1063785749 | Jonathan Rasmussen | Radiology | 1060 Gaffney Rd Dept Of, Ft Wainwright, AK 99703-5002 | 2012-02-11 |
| 1669705562 | Matrix Radiology Associates, LLC | Radiology | 2440 E Tudor Rd, #238, Anchorage, AK 99507-1185 | 2009-09-09 |
| 1659500866 | William W. Resinger | Radiology | 17330 East Huntley Rd., Palmer, AK 99645-0839 | 2009-07-09 |
| 1992975122 | Pacific Northwest Radiology LLC | Radiology | 310 Bennett St, Wrangell, AK 99929 | 2008-03-04 |
| 1336348937 | Aurora Diagnostic Imaging LLC | Radiology | 3419 Airport Way Ste D, Fairbanks, AK 99709-4761 | 2007-07-13 |
| 1356560908 | Pacific Northwest Radiology | Radiology | 34 Lavalle Ct, Unalaska, AK 99685-1202 | 2007-04-24 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 99833 |
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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.