Samuel Boynton (NPI# 1083827992, PAC ID# 0648435560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1083827992 |
| PAC ID by PECOS | 0648435560 |
| Professional Enrollment ID | I20161028001659 |
| Full Name | Samuel Boynton |
| Organization Legal Name | SOUTH SOUND RADIOLOGISTS INC P S |
| Address |
3417 Ensign Rd Ne Olympia WA 98506-5064 |
| Phone Number | 3604934600 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1254229305 |
| Number of Group Practice Members | 78 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500050 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| 500024 | PROVIDENCE ST PETER HOSPITAL |
| 500019 | PROVIDENCE CENTRALIA HOSPITAL |
| 500041 | PEACHEALTH ST JOHN MEDICAL CENTER |
| 501304 | SUMMIT PACIFIC MEDICAL CENTER-SWING BED UNIT |
| Address | Phone | Organization |
|---|---|---|
| 12040 Ne 128th St, Kirkland, WA 98034-3013 | 4258991800 | RADIA INC PS |
| 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 3604934600 | SOUTH SOUND RADIOLOGISTS INC P S |
| Organization Legal Name | SOUTH SOUND RADIOLOGISTS INC P S |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick F Kash | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Germaine Richard Johnson | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Lawrence Northwood Bennett | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Madison Mcculloch | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Christopher Mark Krol | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Sean Paul Conus | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Dara M Omer | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Brandt C Mohr | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Daniel Susanto | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Garland H Mcquinn | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Street Address |
3417 ENSIGN RD NE |
| City | OLYMPIA |
| State | WA |
| Zip | 98506-5064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick F Kash | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Germaine Richard Johnson | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Lawrence Northwood Bennett | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Madison Mcculloch | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Christopher Mark Krol | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Sean Paul Conus | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Dara M Omer | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Brandt C Mohr | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Daniel Susanto | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Garland H Mcquinn | Diagnostic Radiology | South Sound Radiologists Inc P S | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew P Rosser | Chiropractic | 705 4th Ave E, Suite 102, Olympia, WA 98506-3929 | |
| Martha H Henderson | Nurse Practitioner | Molly Henderson Arnp Inc | 1005 Olympia Neave, Olympia, WA 98506-4033 |
| Molly J Staley | Clinical Social Worker | 1204 4th Ave E Stuite, 1 Marriage and Family Therapy Associates LLC, Olympia, WA 98506-4276 | |
| Joseph D Byus | Chiropractic | 1709 State Ave Ne, Olympia, WA 98506-4556 | |
| Roy C Evans | Chiropractic | 1709 State Ave Ne, Olympia, WA 98506-4556 | |
| Donald R Lathrop Jr. | Chiropractic | 1728 State Ave Ne, Capitol Chiropractic and Family Wellness, Olympia, WA 98506-4557 | |
| Rick A Calcara | Chiropractic | 1946 4th Ave E, Olympia, WA 98506-4632 | |
| Marjean Swartling | Chiropractic | 1920 State Ave Ne, Olympia, WA 98506-4652 | |
| Jerod Scott Stanley | Podiatry | Stanley and Utterback | 2828 Martin Way E, Olympia, WA 98506-4946 |
| Aaron K Utterback | Podiatry | Stanley and Utterback | 2828 Martin Way E, Olympia, WA 98506-4946 |
| Find all physicians in zip 98506 | |||
| City | OLYMPIA |
| Zip Code | 98506 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | OLYMPIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Samuel Boynton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.