MEDICAL IMAGING NORTHWEST, LLP (NPI# 1588788731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588788731 |
Entity Type | Organization |
Organization Name | MEDICAL IMAGING NORTHWEST, LLP |
Practice Address |
11212 Sunrise Blvd E Suite 200 Puyallup WA 98374-8847 |
Mailing Address |
7424 Bridgeport Way W Suite 103 Lakewood WA 98499-8120 |
Practice Telephone | 2538414353 |
Practice Fax Number | 2535815698 |
Mailing Telephone | 2538414353 |
Mailing Fax Number | 2535815698 |
Enumeration Date | 2007-03-16 |
Last Update Date | 2007-11-07 |
Authorized Official Name | DR. ANDREW R LEVINE (CHAIRMAN EXECUTIVE COMMITTEE) |
Authorized Official Telephone | 2538414353 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 7817505 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356542641 | Medical Imaging Northwest, LLP | Radiology | 21110 Sr 410 E, Suite 110, Bonney Lake, WA 98391-8457 | 2007-05-31 |
1518920206 | Medical Imaging Northwest, LLP | Specialist | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-11 |
Street Address |
11212 SUNRISE BLVD E SUITE 200 |
City | PUYALLUP |
State | WA |
Zip Code | 98374-8847 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720068067 | Jason Dean Brayley | Family Medicine | 11212 Sunrise Blvd E, Ste 201, Puyallup, WA 98374-8847 | 2006-01-20 |
1215181482 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 11212 Sunrise Blvd E, #200, Puyallup, WA 98374-8847 | 2008-11-13 |
1790963866 | Northwest Foot and Ankle Center, Ps | Podiatrist | 11212 Sunrise Blvd E, Suite 203, Puyallup, WA 98374-8847 | 2008-01-31 |
1811177975 | Family Foot Health Center Inc. | Podiatrist | 11212 Sunrise Blvd E, # 203, Puyallup, WA 98374-8847 | 2007-11-06 |
1316079254 | John Hung, Md, Pllc | Orthopaedic Surgery | 11212 Sunrise Blvd E, Suite 201, Puyallup, WA 98374-8847 | 2007-03-09 |
1043371909 | Ryan Riel | Orthopaedic Surgery | 11212 Sunrise Blvd E, #201, Puyallup, WA 98374-8847 | 2006-12-13 |
1891705935 | Timothy S Grace | Podiatrist | 11212 Sunrise Blvd E, # 203, Puyallup, WA 98374-8847 | 2006-08-09 |
1548201163 | Daniel C Ene Stroescu | Internal Medicine | 11212 Sunrise Blvd E, Suite 201, Puyallup, WA 98374-8847 | 2006-06-08 |
1386683795 | Physiotherapy Associates Inc | Clinic/Center | 11212 Sunrise Blvd E, Suite 202, Puyallup, WA 98374-8847 | 2006-06-05 |
1134176340 | Theresa K Martin | Physician Assistant | 11212 Sunrise Blvd E, #201, Puyallup, WA 98374-8847 | 2006-05-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
Find all providers in zip 98374 |
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 |
---|---|---|---|---|
1598713273 | Sound Medical Imaging Pllc | Radiology | 12615 Meridian East, Ste 3, Puyallup, WA 98373-3426 | 2006-05-04 |
1942401286 | Timothy Ben Johnson | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2007-05-31 |
1710941612 | David Alan Davidson | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-17 |
1215991120 | Londe Apolphe Richardson | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-17 |
1841254752 | Dan Henry Martin | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-17 |
1063476984 | Charles E Wang | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-17 |
1538123674 | Martin Laren Graham | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-14 |
1154385292 | Clare Zeno Andersen | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-14 |
1255395307 | Katherine Ann Choi-chinn | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-14 |
1326002478 | Alan David Pearson | Radiology | 222 15th Ave Se, Puyallup, WA 98372-3754 | 2006-04-14 |
Find all providers in PUYALLUP |
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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.