Scott Randall Henneman (NPI# 1013173814, PAC ID# 0840415717) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1013173814 |
| PAC ID by PECOS | 0840415717 |
| Professional Enrollment ID | I20140709000579 |
| Full Name | Scott Randall Henneman |
| Organization Legal Name | TRA-MINW, PS |
| Address |
34515 9th Ave S Federal Way WA 98003-6761 |
| Phone Number | 2533830505 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163316167 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500079 | MULTICARE GOOD SAMARITAN HOSPITAL |
| 500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
| 500108 | ST JOSEPH MEDICAL CENTER |
| 500021 | ST CLARE HOSPITAL |
| 500011 | HIGHLINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16251 Sylvester Rd Sw, Burien, WA 98166-3017 | 2062449970 | TRA-MINW, PS |
| 16259 Sylvester Rd Sw, Burien, WA 98166-3049 | 2062449970 | TRA-MINW, PS |
| 34515 9th Ave S, Federal Way, WA 98003-6761 | 2533830505 | TRA-MINW, PS |
| 2801 St Anthony Way, Pendleton, OR 97801-3800 | 5412765121 | TRA-MINW, PS |
| 222 15th Ave Se, Puyallup, WA 98372-3754 | 2538414353 | MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE |
| 3402 S 18th St, Tacoma, WA 98405-1903 | 2537614200 | TRA-MINW, PS |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 99% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 99% |
| Organization Legal Name | TRA-MINW, PS |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor Lee Reeves | Physician Assistant | Tra-minw, Ps | 3402 S 18th St, Tacoma, WA 98405-1903 |
| Andre Bautista | Diagnostic Radiology | Tra-minw, Ps | 1455 Battersby Ave, Enumclaw, WA 98022-3634 |
| Evan Michael Leitz | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Jana Lynn Fahmy | Diagnostic Radiology | Tra-minw, Ps | 2502 S Union Ave, Tacoma, WA 98405-1328 |
| Michael Jon Flamoe | Physician Assistant | Tra-minw, Ps | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Joshua Scott Meyer | Physician Assistant | Tra-minw, Ps | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| David Harold Rice | Diagnostic Radiology | Tra-minw, Ps | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Chuck D Martin | Diagnostic Radiology | Tra-minw, Ps | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Rachael Marie Edwards | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| John Paul Kim | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Street Address |
34515 9TH AVE S |
| City | FEDERAL WAY |
| State | WA |
| Zip | 98003-6761 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fredric T Lo | Emergency Medicine | Northwest Emergency Physicians LLC | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Fransje J Slothouber Giles | Nurse Practitioner | Franciscan Medical Group | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Anuj P Jani | Emergency Medicine | Northwest Emergency Physicians LLC | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Kelsey A Hansen | Physician Assistant | Franciscan Medical Group | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Michael Jon Flamoe | Physician Assistant | Tra-minw, Ps | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Scott C Kennard | Anesthesiology | Pacific Anesthesia PC | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Pawan Chawla | Pulmonary Disease | Franciscan Medical Group | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Katharine A Micallef | Obstetrics/gynecology | Franciscan Medical Group | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Yesenia Williams | Nurse Practitioner | Franciscan Medical Group | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Greg A Brown | Orthopedic Surgery | Franciscan Medical Group | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Miles | Clinical Social Worker | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Ashley Spreda | Clinical Social Worker | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Judith D Nielsen | Internal Medicine | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Scott Anthony Trapman | Family Medicine | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Alexandria Majcher | Clinical Social Worker | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Frank Joseph Rossi Jr. | Chiropractic | Redondo Family Chiropractic Inc Ps | 28815 Pacific Hwy S 6, Federal Way, WA 98003-3876 |
| Laura H Lee | Optometry | Drs Jackson and Lee Inc | 28815 Pacific Hwy S, Suite 2, Federal Way, WA 98003-3876 |
| Andrew Michael Winger | Chiropractic | 28815 Pacific Hwy S, Suite 6, Federal Way, WA 98003-3876 | |
| Duane L Jackson Jr. | Optometry | Drs Jackson and Lee Inc | 28815 Pacific Hwy S, Suite 2, Federal Way, WA 98003-3876 |
| Kara K Rasplica | Nurse Practitioner | Franciscan Medical Group | 30809 1st Ave S, Federal Way, WA 98003-4074 |
| Find all physicians in zip 98003 | |||
| City | FEDERAL WAY |
| Zip Code | 98003 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FEDERAL WAY + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Scott Randall Henneman.
| 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.