Andrew J Harrison (NPI# 1073812715, PAC ID# 7315232766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1073812715 |
| PAC ID by PECOS | 7315232766 |
| Professional Enrollment ID | I20180730000456 |
| Full Name | Andrew J Harrison |
| Organization Legal Name | EVERGREEN RADIA LLC |
| Address |
11521 Ne 128th St Suite 200 Kirkland WA 98034-4317 |
| Phone Number | 4259526100 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2011 |
| 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 |
|---|---|
| 500044 | DEACONESS MEDICAL CENTER |
| 500124 | EVERGREEN HOSPITAL MEDICAL CENTER |
| 500014 | PROVIDENCE REGIONAL MEDICAL CENTER EVERETT |
| 500016 | CENTRAL WASHINGTON HOSPITAL |
| 500050 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 21700 Hwy 99, Edmonds, WA 98026-8034 | 4252976200 | SWEDISH RADIA IMAGING CENTER AT EDMONDS LLC |
| 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 | 4259526100 | EVERGREEN RADIA LLC |
| 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 3607545858 | RADIA INC PS |
| 747 Broadway, Seattle, WA 98122-4379 | 2063866000 | 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 |
| 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 |
| Felix Thomas Nautsch | 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 |
| 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 |
| Patrick Russell Cox | 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 Andrew J Harrison.
| 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.