SCOTT J MCCORKELL (NPI# 1417926791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417926791 |
| Entity Type | Individual |
| Full Name | SCOTT J MCCORKELL |
| Credential | MD |
| Practice Address |
6808 220th St Sw Ste 100 Mountlake Terrace WA 98043-2122 |
| Mailing Address |
Po Box 94580 Seattle WA 98124-6880 |
| Practice Telephone | 4257447420 |
| Practice Fax Number | 4256703378 |
| Mailing Telephone | 9525428553 |
| Mailing Fax Number | 9525136880 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2012-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00016032 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8600413 | 05 |
| Street Address |
6808 220TH ST SW STE 100 |
| City | MOUNTLAKE TERRACE |
| State | WA |
| Zip Code | 98043-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176902 | Grace Chia-hua Chen | Physician Assistant | 6808 220th St Sw, Suite 201, Mountlake Terrace, WA 98043-2187 | 2005-07-01 |
| 1457891426 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 6808 220th St Sw, Suite 100, Mountlake Terrace, WA 98043-2187 | 2017-02-24 |
| 1790186633 | Roman Antioquia | Specialist | 6808 220th St Sw, Suite 203, Mountlake Terrace, WA 98043-2187 | 2014-09-10 |
| 1184031007 | Samantha Smith | Specialist | 6808 220th St Sw, Suite 203, Mountlake Terrace, WA 98043-2187 | 2014-07-14 |
| 1760826374 | Lydia Miriam Lagrou | Specialist | 6808 220th St Sw, #203, Mountlake Terrace, WA 98043-2187 | 2013-04-25 |
| 1174861397 | Emily Brooke Brown | Massage Therapist | 6808 220th St Sw, #203, Mountlake Terrace, WA 98043-2187 | 2013-01-23 |
| 1861740847 | Robyn Ann Smith | Counselor | 6808 220th St Sw, # 204, Mountlake Terrace, WA 98043-2187 | 2012-08-22 |
| 1922360940 | Jennifer Ellyn Souders | Anesthesiology | 6808 220th St Sw, North Start Place, Ste 201, Mountlake Terrace, WA 98043-2187 | 2012-06-14 |
| 1083982359 | Jessica Taylor Ralston | Massage Therapist | 6808 220th St Sw, Suite 203, Mountlake Terrace, WA 98043-2187 | 2011-12-01 |
| 1942583034 | Vantage Point Counseling | Social Worker | 6808 220th St Sw, Suite 204, Mountlake Terrace, WA 98043-2187 | 2011-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785357 | Maria Angelica Lopez | Counselor | 22815 Lakeview Dr Apt 'g' - 308, Mountlake Terrace, WA 98043 | 2020-06-17 |
| 1447891411 | Juana Antonia Hartley | Technician | 4808 221st St. Sw, Mountlake Terrace, WA 98043 | 2019-10-01 |
| 1437709961 | Jamil Vaughn Shoot | Acupuncturist | 21705 56th Ave W, Mount Lake Terrace, WA 98043 | 2019-09-17 |
| 1942709449 | Julie A Hill | Registered Nurse | 22001 44th Ave W, Mountlake Terrace, WA 98043 | 2018-02-09 |
| 1205285004 | Preeti Suryakumar | Occupational Therapist | 23008 56th Ave West, Vineyard Park At Mountlake Terrace, Mountlake Terrace, WA 98043 | 2016-06-13 |
| 1467819623 | Liisa Marlene Geyer | Social Worker | 6021 244th St Sw # 400, Mountlake Terrace, WA 98043 | 2016-01-19 |
| 1346611696 | Isaiah Johnson | Massage Therapist | 21604 66th Ave N, #a, Mountlake Terrace, WA 98043 | 2015-10-13 |
| 1417343260 | Sunanta Angela Astorga | Counselor | 6021 244th St Sw #400, Mountlake Terrace, WA 98043 | 2015-04-08 |
| 1366835746 | Teresa Antoinette White | Chiropractor | 6603 220th St. Sw Suite 100, Mountlake Terrace, WA 98043 | 2015-03-10 |
| 1508156647 | Monica Jean Scott | Massage Therapist | 23009-56 Ave W # B, Mountlake Terrace, WA 98043 | 2011-04-11 |
| Find all providers in zip 98043 | ||||
| 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 |
|---|---|---|---|---|
| 1184140477 | Proliance Surgeons, Inc., P.s. | Radiology | 6808 220th St Sw Ste 105, Mountlake Terrace, WA 98043-2187 | 2017-08-17 |
| 1326092818 | Pacific Imaging Pllc | Radiology | 6808 220th St Sw, Ste 100, Mountlake Terrace, WA 98043-2122 | 2006-05-20 |
| 1043270515 | Susan M Bates | Radiology | 6808 220th St Sw, Ste 100, Mountlake Terrace, WA 98043-2122 | 2006-03-27 |
| 1043289283 | Alan N Schwartz | Radiology | 6808 220th Street Sw, Suite 100, Mountlake Terrace, WA 98043-2122 | 2006-03-17 |
| 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 |
| 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 |
| 1366846073 | Pacific Coast Radiology Associates Pllc | Radiology | 205 9th Ave, Aberdeen, WA 98520-1336 | 2014-10-09 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTLAKE TERRACE |
| Zip Code | 98043 |
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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.