Michael Shane Siem (NPI# 1245483569, PAC ID# 2466514633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245483569 |
| PAC ID by PECOS | 2466514633 |
| Professional Enrollment ID | I20081222000557 |
| Full Name | Michael Shane Siem |
| Organization Legal Name | RADIA INC PS |
| Address |
1035 116 Ave Ne Bellevue WA 98004-4604 |
| Phone Number | 4256885000 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9931012812 |
| Number of Group Practice Members | 214 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500051 | OVERLAKE HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1035 116 Ave Ne, Bellevue, WA 98004-4604 | 4256885000 | RADIA INC PS |
| 1100 Pacific Ave, Suite 300, Everett, WA 98201-4261 | 4253392433 | RADIA INC PS |
| 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 4253135400 | RADIA INC PS |
| 751 Ne Blakely Dr, Suite 3020, Issaquah, WA 98029-6201 | 4253137000 | RADIA INC PS |
| 12040 Ne 128th St, Kirkland, WA 98034-3013 | 4258991800 | RADIA INC PS |
| 500 17th Ave, Seattle, WA 98122-5711 | 2063203700 | RADIA INC PS |
| Organization Legal Name | RADIA INC PS |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Dewolfe Mackenzie | Diagnostic Radiology | Radia Inc Ps | 55 Uranus Ter, San Francisco, CA 94114-1829 |
| Judson E Threlkeld | Diagnostic Radiology | Radia Inc Ps | 19020 33 Rd Ave W, Suite 210, Lynnwood, WA 98036-4748 |
| Michael Scot Fishman | Diagnostic Radiology | Radia Inc Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Philip J Vogelzang | Interventional Radiology | Radia Inc Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Sanjiv R Parikh | Diagnostic Radiology | Radia Inc Ps | 1035 116 Ave Ne, Bellevue, WA 98004-4604 |
| Steve L Yang | Diagnostic Radiology | Radia Inc Ps | 19020 33 Rd Ave W, Suite 210, Lynnwood, WA 98036-4748 |
| Lynda Jo Storm | Physician Assistant | Radia Inc Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Aaron Yiu-kai Fu | Diagnostic Radiology | Radia Inc Ps | 21601 76th Ave W, Edmonds, WA 98026-7507 |
| Michael D Morich | Diagnostic Radiology | Radia Inc Ps | 19020 33 Rd Ave W, Suite 210, Lynnwood, WA 98036-4748 |
| Mark Aaron Wilson | Diagnostic Radiology | Radia Inc Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Street Address |
1035 116 AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip | 98004-4604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly A Nelson | Anesthesiology | Matrix Anesthesia, Ps | 1035 116 Ave Ne, Bellevue, WA 98004-4604 |
| Gene Y Paek | Anesthesiology | Matrix Anesthesia, Ps | 1035 116 Ave Ne, Bellevue, WA 98004-4604 |
| John M Fujii | Anesthesiology | Matrix Anesthesia, Ps | 1035 116 Ave Ne, Bellevue, WA 98004-4604 |
| Andrew D Feld | Gastroenterology | Kaiser Foundation Health Plan of Washington | 1035 116 Ave Ne, Overlake, Bellevue, WA 98004-4604 |
| James R Larson | Anesthesiology | Matrix Anesthesia, Ps | 1035 116 Ave Ne, Bellevue, WA 98004-4604 |
| Erin R Rudzinski | Pathology | Seattle Children's Hospital | 1035 116 Ave Ne, Bellevue, WA 98004-4604 |
| Julian W Klos | Anesthesiology | Matrix Anesthesia, Ps | 1035 116 Ave Ne, Bellevue, WA 98004-4604 |
| June L Lee | Anesthesiology | Matrix Anesthesia, Ps | 1035 116 Ave Ne, Bellevue, WA 98004-4604 |
| Andrea M Fisk | Emergency Medicine | Puget Sound Physicians Pllc | 1035 116 Ave Ne, Bellevue, WA 98004-4604 |
| Christina T Eide | Anesthesiology | Matrix Anesthesia, Ps | 1035 116 Ave Ne, Bellevue, WA 98004-4604 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tae Soon Park | Podiatry | Metroliance Foot and Ankle Group | 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 |
| Stacy S Donlan | Internal Medicine | 2950 Northup Way, Suite 210, Bellevue, WA 98004-1406 | |
| Glen A Curda | Podiatry | Metroliance Foot and Ankle Group | 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 |
| Meredith M Sargent | Clinical Psychologist | 2950 Northup Way, Suite 204, Bellevue, WA 98004-1406 | |
| Sang H Suh | Psychiatry | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1419 | |
| Tessa A Plana | Optometry | Pacific Cataract and Laser Institute Inc PC | 2606 116th Ave Ne, Suite 100, Bellevue, WA 98004-1422 |
| Jeffrey Walter Mattson | Optometry | Pacific Cataract and Laser Institute Inc PC | 2606 116th Ave Ne, Suite 100, Bellevue, WA 98004-1422 |
| Brian Carey | Ophthalmology | Pacific Cataract and Laser Institute Inc PC | 2606 116th Ave Ne, Suite 100, Bellevue, WA 98004-1422 |
| Michelle S Blumenzweig | Clinical Social Worker | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1438 | |
| Santosh A Agnani | Psychiatry | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1438 | |
| Find all physicians in zip 98004 | |||
| City | BELLEVUE |
| Zip Code | 98004 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BELLEVUE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Michael Shane Siem.
| 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.