EVERETT RADIA LLC (NPI# 1578550240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578550240 |
| Entity Type | Organization |
| Organization Name | EVERETT RADIA LLC |
| Other Organization Name | EVERETT RADIA |
| Practice Address |
3822 Colby Ave Everett WA 98201-4913 |
| Practice Telephone | 4252976222 |
| Practice Fax Number | 4252976250 |
| Mailing Telephone | 4252976200 |
| Mailing Fax Number | 4252976250 |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2010-10-25 |
| Authorized Official Name | BEN HARMON (CEO) |
| Authorized Official Telephone | 4252976200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
602154866 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | GROUP LABOR & INDUSTRIES | 154351 | 01 |
| WA | 7109416 | 05 | |
| WA | GROUP CRIME VICTIMS | 8935709 | 01 |
| Other Name | Type Code |
|---|---|
| Everett Radia | Doing Business As Name - Organization |
| Street Address |
3822 COLBY AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720430903 | Western Washington Medical Group, Inc Ps | Clinic/Center | 3822 Colby Ave, Suite 100, Everett, WA 98201-4913 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| 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 |
|---|---|---|---|---|
| 1023095080 | Virginia Eschbach | Radiology | 728 134th St Sw, Suite # 120, Everett, WA 98204-5322 | 2005-12-29 |
| 1104440312 | Michael E Castro | Radiology | 1818 121st St Se, Everett, WA 98208-5985 | 2020-06-03 |
| 1518218080 | The Everett Clnic Inc | Radiology | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2012-09-25 |
| 1699067090 | Hilary Ann Brazeal | Radiology | 916 Pacific Ave, Everett, WA 98201-4147 | 2011-05-04 |
| 1497914790 | Radiology Consultants of Washington, Inc., P.s. | Radiology | 3131 Nassau St, Suite 102, Everett, WA 98201-4137 | 2008-06-03 |
| 1407992274 | Duane Walter Krause | Radiology | 728 134th St Sw, Suite 120, Everett, WA 98204-5322 | 2007-01-29 |
| 1124164900 | Janis Maryan Mercker | Radiology | 728 134th St Sw, Suite 120, Everett, WA 98204-5322 | 2007-01-29 |
| 1639191299 | Nancy Shaffer | Radiology | 728 134th St Sw, Suite # 120, Everett, WA 98204-5322 | 2006-07-24 |
| 1619913753 | Western Washington Medical Group Department of Dexa Scan | Radiology | 3216 Norton Ave, Suite 102, Everett, WA 98201-4290 | 2006-06-20 |
| 1750320701 | Proliance Surgeons, Inc., P.s. | Radiology | 1100 Pacific Ave, Suite 300, Everett, WA 98201-4261 | 2006-06-05 |
| Find all providers in EVERETT | ||||
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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.