Bart Patrick Keogh (NPI# 1669489472, PAC ID# 4880690700) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1669489472 |
| PAC ID by PECOS | 4880690700 |
| Professional Enrollment ID | I20061016000409 |
| Full Name | Bart Patrick Keogh |
| Organization Legal Name | EVERGREEN RADIA LLC |
| Address |
11521 Ne 128th St Suite 200 Kirkland WA 98034-4317 |
| Phone Number | 4259526100 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587568076 |
| Number of Group Practice Members | 107 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500025 | SWEDISH MEDICAL CENTER / CHERRY HILL |
| 500044 | DEACONESS MEDICAL CENTER |
| 500051 | OVERLAKE HOSPITAL MEDICAL CENTER |
| 500014 | PROVIDENCE REGIONAL MEDICAL CENTER EVERETT |
| 500024 | PROVIDENCE ST PETER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 908 S Scheuber Rd, Centralia, WA 98531-9027 | 3603308507 | RADIA INC PS |
| 908 S Scheuber Rd, A, Centralia, WA 98531-9027 | 3603308880 | RADIA INC PS |
| 914 S Scheuber Rd, Centralia, WA 98531-9027 | 3607362803 | RADIA INC PS |
| 101 N Main St, Coupeville, WA 98239-3413 | 3606787607 | RADIA INC PS |
| 21601 76th Ave W, Edmonds, WA 98026-7507 | 4256404250 | RADIA INC PS |
| 1321 Colby Ave, Everett, WA 98201-1665 | 4252614100 | RADIA INC PS |
| 916 Pacific Ave, Everett, WA 98201-4147 | 4252587695 | RADIA INC PS |
| 13216 255th Ave Se, Issaquah, WA 98027-8371 | 4255631516 | 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 |
| 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 | 4259526100 | EVERGREEN RADIA LLC |
| 12040 Ne 128th St, Kirkland, WA 98034-3013 | 4258991800 | RADIA INC PS |
| 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 3607545858 | RADIA INC PS |
| 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 3604918439 | RADIA INC PS |
| 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 3604919480 | RADIA INC PS |
| 939 Caroline St, Port Angeles, WA 98362-3909 | 3604177441 | RADIA INC PS |
| 18100 Ne Union Hill Rd, Redmond, WA 98052-3330 | 4254982031 | RADIA INC PS |
| 18100 Ne Union Hill Rd, Suite 200, Redmond, WA 98052-3330 | 4254982031 | RADIA INC PS |
| 1600 E Jefferson St, Suite 203, Seattle, WA 98122-5644 | 4252976200 | RADIA INC PS |
| 500 17th Ave, Seattle, WA 98122-5711 | 5096638711 | WENATCHEE VALLEY HOSPITAL |
| 500 17th Ave, Seattle, WA 98122-5711 | 2063203700 | RADIA INC PS |
| 588 Bell St, Unit 2404, Seattle, WA 98121-1948 | 4255631516 | RADIA INC PS |
| 700 Minor Ave, Seattle, WA 98104-2146 | 4255631516 | RADIA INC PS |
| 400 E 5th Ave, Spokane, WA 99202-1334 | 5098382531 | RADIA INC PS |
| 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 5096638711 | WENATCHEE VALLEY HOSPITAL |
| Organization Legal Name | EVERGREEN RADIA LLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahesh G Atluri | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Amar Y Purandare | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Andrew J Harrison | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Kirk V Myers | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Marc G Koenig | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Mark Donald Mayhle | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Sheilah Michelle Curran-melendez | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Patrick Russell Cox | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Diane E Engelbrecht | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Maria Chong | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Street Address |
11521 NE 128TH ST SUITE 200 |
| City | KIRKLAND |
| State | WA |
| Zip | 98034-4317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahesh G Atluri | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Amar Y Purandare | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Andrew J Harrison | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Kirk V Myers | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Marissa Black | Geriatric Medicine | King County Public Hospital District No 2 | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 |
| Marc G Koenig | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Imelda C Cheng | Nurse Practitioner | King County Public Hospital District No 2 | 11521 Ne 128th St, Kirkland, WA 98034-4317 |
| Mark Donald Mayhle | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Dawn Marie Hastreiter | Diagnostic Radiology | Swedish Health Services | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Sheilah Michelle Curran-melendez | Diagnostic Radiology | Evergreen Radia LLC | 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin Edward Lubereski | Chiropractic | Ryan Coogan Dc Ps | 11902 97th Ave Ne, Kirkland, WA 98034-1882 |
| Ryan Sean Coogan | Chiropractic | Ryan Coogan Dc Ps | 11902 97th Ave Ne, Kirkland, WA 98034-1882 |
| Richard A Wyckoff | Clinical Psychologist | 13606 Ne 20th St, Suite 205, Bellevue, WA 98034-2011 | |
| Olena Sergiyivna Fox | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Sid H Siahpush | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Zhendong J Ma | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Amy O Zachara | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Olga G Abramova | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Syed Kamal Mustafa | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Garth Edward Terry | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Find all physicians in zip 98034 | |||
| City | KIRKLAND |
| Zip Code | 98034 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | KIRKLAND + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Bart Patrick Keogh.
| 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.