JONATHAN R MEDVERD


Address: Vapshcs - Seattle Division, 1660 South Columbian Way, S-113rad, Seattle, WA 98108-1597
Phone: 2067642444

JONATHAN R MEDVERD (NPI# 1952496127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952496127
Entity Type Individual
Full Name JONATHAN R MEDVERD
Credential M.D.
Practice Address Vapshcs - Seattle Division
1660 South Columbian Way, S-113rad
Seattle
WA 98108-1597
Practice Telephone 2067642444
Practice Fax Number 2062773415
Mailing Telephone 2067642444
Mailing Fax Number 2062773415
Enumeration Date 2006-10-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
025209 MD0003522 WA Allopathic & Osteopathic Physicians

Office Location

Street Address VAPSHCS - SEATTLE DIVISION
1660 SOUTH COLUMBIAN WAY, S-113RAD
City SEATTLE
State WA
Zip Code 98108-1597

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1346726015 Erica M Meurk Counselor 3016 S Dakota St, Seattle, WA 98108 2018-07-16
1023527892 Holly Lynn Wickizer Social Worker 6160 S. Columbian Way, Seattle, WA 98108 2017-09-25
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1174869481 Cheryll J Frazier Counselor 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 2012-12-14
1831440973 Blissa Tanaka Pharmacist 1660 S. Columbian Way (s-119), Seattle, WA 98108 2012-09-28
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

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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
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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
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Competitor

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City SEATTLE
Zip Code 98108

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Dataset Information

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.

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