COLUMBIA BASIN IMAGING PC (NPI# 1942643960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942643960 |
Entity Type | Organization |
Organization Name | COLUMBIA BASIN IMAGING PC |
Practice Address |
500 17th Ave Seattle WA 98122-5711 |
Mailing Address |
Po Box 5230 Pasco WA 99302-5201 |
Practice Telephone | 5099435616 |
Mailing Telephone | 8009414365 |
Enumeration Date | 2013-04-09 |
Last Update Date | 2013-04-09 |
Authorized Official Name | DWANE T BRITTAIN (MD) |
Authorized Official Telephone | 5099435616 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255450680 | Columbia Basin Imaging PC | Specialist | 953 Stevens Dr, Ste#c, Richland, WA 99352-3533 | 2007-03-28 |
1881037893 | Columbia Basin Imaging PC | Radiology | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2013-04-09 |
1154449148 | Columbia Basin Imaging PC | Specialist | 821 Swift Blvd, Richland, WA 99352-3513 | 2007-03-27 |
1861510851 | Columbia Basin Imaging PC | Specialist | 945 Goethals Dr, Richland, WA 99352-3552 | 2007-03-27 |
1609811322 | Columbia Basin Imaging PC | Radiology | 888 Swift Blvd, Richland, WA 99352 | 2006-06-17 |
Street Address |
500 17TH AVE |
City | SEATTLE |
State | WA |
Zip Code | 98122-5711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255331377 | Dennis Chong | Physical Medicine & Rehabilitation | 500 17th Ave, Wound Healing Center, Seattle, WA 98122-5711 | 2005-07-29 |
1922613074 | Caitlin Vosburgh | Registered Nurse | 500 17th Ave, Seattle, WA 98122-5711 | 2020-09-14 |
1942819404 | Elias Mounir Elias | Neurological Surgery | 500 17th Ave, Seattle, WA 98122-5711 | 2020-07-29 |
1164057360 | Christine Ann Schmer | Registered Nurse | 500 17th Ave, Seattle, WA 98122-5711 | 2020-03-08 |
1821623257 | Kirsten Elizabeth Wickstrom | Registered Nurse | 500 17th Ave, Seattle, WA 98122-5711 | 2020-03-05 |
1508499039 | Hodo Mohamud | Registered Nurse | 500 17th Ave, Seattle, WA 98122-5711 | 2020-02-12 |
1639709728 | Marian J Dobles | Pharmacist | 500 17th Ave, Seattle, WA 98122-5711 | 2020-01-17 |
1659910008 | Ayrron Sisley | Pharmacist | 500 17th Ave, Seattle, WA 98122-5711 | 2020-01-02 |
1639718687 | Monica Ste Marie | Pharmacist | 500 17th Ave, Seattle, WA 98122-5711 | 2019-12-21 |
1124666268 | Michael Kwik | Pharmacist | 500 17th Ave, Seattle, WA 98122-5711 | 2019-12-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
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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 |
---|---|---|---|---|
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 |
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 |
1356740930 | Mazen E Zawaideh | Radiology | 588 Bell St Unit 3705, Seattle, WA 98121-1923 | 2014-08-19 |
1962821991 | Berthina B. Coleman | Radiology | 747 Broadway, Suite Ww- 739, Swedish Medical Center, General Surgery Residency Progr, Seattle, WA 98122-4307 | 2014-04-07 |
1295153120 | Peyvand Pordeli | Radiology | Department of Radiology Body Image Section, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195-7115 | 2014-03-28 |
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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.