PACIFIC NORTHWEST RADIOLOGY LLC (NPI# 1992975122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992975122 |
| Entity Type | Organization |
| Organization Name | PACIFIC NORTHWEST RADIOLOGY LLC |
| Practice Address |
310 Bennett St Wrangell AK 99929 |
| Mailing Address |
Po Box 26570 Fresno CA 93729-6570 |
| Practice Telephone | 9078747000 |
| Mailing Telephone | 5416877134 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | MR. BURT LOESSBERG (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5416877134 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
314344 | AK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528284387 | Pacific Northwest Radiology LLC | Radiology | 12175 Glacier Hwy, Unit E 203, Juneau, AK 99801-8630 | 2007-04-18 |
| 1306011473 | Pacific Northwest Radiology LLC | Radiology | 602 Chase Avenue, Cordova, AK 99574-0160 | 2008-04-29 |
| 1376762526 | Pacific Northwest Radiology LLC | Radiology | 103 Fram St, Petersburg, AK 99833 | 2007-04-25 |
| 1972729762 | Pacific Northwest Radiology LLC | Radiology | 209 Moller Ave, Sitka, AK 99835-7142 | 2007-04-18 |
| Street Address |
310 BENNETT ST |
| City | WRANGELL |
| State | AK |
| Zip Code | 99929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535218 | Southeast Alaska Regional Health Consortium | Clinic/Center | 310 Bennett St, Wrangell, AK 99929 | 2018-10-31 |
| 1356829279 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 310 Bennett St, Wrangell, AK 99929 | 2018-08-02 |
| 1396223210 | Southeast Alaska Regional Health Consortium | Skilled Nursing Facility | 310 Bennett St, Wrangell, AK 99929 | 2018-08-02 |
| 1700364627 | Southeast Alaska Regional Health Consortium | Clinic/Center | 310 Bennett St, Wrangell, AK 99929 | 2018-08-02 |
| 1447796842 | Southeast Alaska Regional Health Consortium | Family Medicine | 310 Bennett St, Wrangell, AK 99929 | 2017-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073009379 | Eli Michael | Social Worker | 110 Lynch St, Wrangell, AK 99929 | 2018-07-10 |
| 1538688619 | Dash Enterprises | Assisted Living Facility | 1104 Peninsula Street, Wrangell, AK 99929 | 2017-09-11 |
| 1477003978 | Alaska Island Community Services | Clinic/Center | 110 Lynch Street, Wrangell, AK 99929 | 2016-10-07 |
| 1679909253 | Kjerstena Elizabeth Yocum | Dental Hygienist | 215 Front Street, Wrangell, AK 99929 | 2013-09-16 |
| 1699109975 | Kristen Leigh Debord | Speech-Language Pathologist | 310 Bennett St., Wrangell, AK 99929 | 2013-08-22 |
| 1144558685 | Cheryl E Haynes | Pharmacist | 322 Bennett St, Island, Only Addresses Ponumbers-pob 1421, Wrangell, AK 99929 | 2009-11-20 |
| 1689729980 | Alaska Island Community Services | Clinic/Center | 102 Harpoon Way, Coffman Cove, AK 99929 | 2007-01-24 |
| 1659433738 | Drs Moorhead& Ross Dds | Dentist | 215 Front St, Wrangell, AK 99929 | 2006-12-14 |
| 1588764534 | Stikine Drug LLC | Pharmacy | 202 Front St, Wrangell, AK 99929 | 2006-09-22 |
| 1053418921 | Martha Jane Moore | Family Medicine | 232 Wood Street, Wrangell, AK 99929 | 2006-09-20 |
| Find all providers in zip 99929 | ||||
| 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 |
|---|---|---|---|---|
| 1619437373 | Iv Radiology Medical Group | Radiology | 9178 Eagle River Ln, Eagle River, AK 99577-6819 | 2019-03-20 |
| 1316328263 | Telerad Account Management of Alaska LLC | Radiology | 3868 N Forestwood Dr, Palmer, AK 99645-9669 | 2015-06-17 |
| 1386986917 | Elaine Clark Pigman | Radiology | Alaska Radiology Associates, 3650 Piper St. Suite A, Anchorage, AK 99508 | 2013-03-21 |
| 1396011300 | Alexander Glen Wright | Radiology | 3650 Piper Street Ste A, Anchorage, AK 99508 | 2012-03-25 |
| 1063785749 | Jonathan Rasmussen | Radiology | 1060 Gaffney Rd Dept Of, Ft Wainwright, AK 99703-5002 | 2012-02-11 |
| 1669705562 | Matrix Radiology Associates, LLC | Radiology | 2440 E Tudor Rd, #238, Anchorage, AK 99507-1185 | 2009-09-09 |
| 1659500866 | William W. Resinger | Radiology | 17330 East Huntley Rd., Palmer, AK 99645-0839 | 2009-07-09 |
| 1336348937 | Aurora Diagnostic Imaging LLC | Radiology | 3419 Airport Way Ste D, Fairbanks, AK 99709-4761 | 2007-07-13 |
| 1356560908 | Pacific Northwest Radiology | Radiology | 34 Lavalle Ct, Unalaska, AK 99685-1202 | 2007-04-24 |
| 1528284387 | Pacific Northwest Radiology LLC | Radiology | 12175 Glacier Hwy, Unit E 203, Juneau, AK 99801-8630 | 2007-04-18 |
| Find all providers with the same taxonomy | ||||
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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.