Jonathan Hastings Harrison (NPI# 1326331133, PAC ID# 7719132521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1326331133 |
| PAC ID by PECOS | 7719132521 |
| Professional Enrollment ID | I20170717003643 |
| Full Name | Jonathan Hastings Harrison |
| Organization Legal Name | ELLIS BANDT BIRKIN KOLLINS AND WONG PLLC |
| Address |
3920 S Eastern Ave Suite 100 Las Vegas NV 89119-5171 |
| Phone Number | 7027598600 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 4486568946 |
| Number of Group Practice Members | 99 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290022 | DESERT SPRINGS HOSPITAL |
| 290041 | SUMMERLIN HOSPITAL MEDICAL CENTER |
| 290054 | CENTENNIAL HILLS HOSPITAL MEDICAL CENTER |
| 290057 | HENDERSON HOSPITAL |
| 290046 | SPRING VALLEY HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 190 Arrowhead Dr, Evanston, WY 82930-9266 | 3077893636 | UTAH VALLEY RADIOLOGY ASSOCIATES INC |
| 2020 Palomino Ln, Suite 100, Las Vegas, NV 89106-4894 | 7027598600 | SHELIN AGRAWAL AND HYER PLLC |
| 3920 S Eastern Ave, Suite 100, Las Vegas, NV 89119-5171 | 7027598600 | ELLIS BANDT BIRKIN KOLLINS AND WONG PLLC |
| 1034 N 500, Utah Valley Regional Medical Center, Provo, UT 84604-3380 | 8012256246 | UTAH VALLEY RADIOLOGY ASSOCIATES INC |
| 1034 N 500, Uvh Psych Dept, Provo, UT 84604-3380 | 8013577850 | IHC HEALTH SERVICES INC |
| 1055 N 300 W, 308 Intermountain Vein Center, Provo, UT 84604-3373 | 8013796700 | UTAH VALLEY RADIOLOGY ASSOCIATES INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | ELLIS BANDT BIRKIN KOLLINS AND WONG PLLC |
| Physicians | 85 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony K Gordon | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 7 Oakmont Ct, San Rafael, CA 94901-1235 |
| Stanley Wayne Whitaker | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 10348 N 96th Pl, Scottsdale, AZ 85258-4775 |
| Sandra Lee | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 15697 Reimund Ct, Findlay, OH 45840-8902 |
| Vaughn G Marshall | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 8912 Chestnut Hill Ln, Highlands Ranch, CO 80130-5127 |
| Perry Horwich | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 1397 S Loop Rd, Suite 100, Pahrump, NV 89048-4752 |
| Douglas Glen Larson | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 2020 Palomino Ln, Suite 100, Las Vegas, NV 89106-4894 |
| James Ak Peterson | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 145 Oak Meadow Rd, Sierra Madre, CA 91024-2661 |
| William J Perry | Physician Assistant | Ellis Bandt Birkin Kollins and Wong Pllc | 2811 W Horizon Ridge Pkwy, Henderson, NV 89052-4394 |
| Jimmy C Wang | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 34 Newcastle Ln, Laguna Niguel, CA 92677-9327 |
| Carleton Allen | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 9026 S Calvin Way, Inglewood, CA 90305-2393 |
| Street Address |
3920 S EASTERN AVE SUITE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89119-5171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerbi Danielle Wangsgaard | Physical Therapy | New Century Rehabilitation LLC | 4000 S Eastern Ave, 300 Ati Physical Therapy, Las Vegas, NV 89119-0826 |
| Thomas P Brooks | Physical Therapy | New Century Rehabilitation LLC | 4000 S Eastern Ave, 300 Ati Physical Therapy, Las Vegas, NV 89119-0826 |
| Alison A Hauck | Physical Therapy | New Century Rehabilitation LLC | 4000 S Eastern Ave, 300 Ati Physical Therapy, Las Vegas, NV 89119-0826 |
| Jana Nobuko Tsuruda-chow | Occupational Therapy | New Century Rehabilitation LLC | 4000 S Eastern Ave, 300 Ati Physical Therapy, Las Vegas, NV 89119-0826 |
| Casey Marano | Occupational Therapy | New Century Rehabilitation LLC | 4000 S Eastern Ave, 300 Ati Physical Therapy, Las Vegas, NV 89119-0826 |
| Rueben F Cervantez | Physical Therapy | New Century Rehabilitation LLC | 4000 S Eastern Ave, 300 Ati Physical Therapy, Las Vegas, NV 89119-0826 |
| Emily Marie Brumbaugh | Physical Therapy | New Century Rehabilitation LLC | 4000 S Eastern Ave, 300 Ati Physical Therapy, Las Vegas, NV 89119-0826 |
| Daniel T Johnson | Physical Therapy | New Century Rehabilitation LLC | 4000 S Eastern Ave, Las Vegas, NV 89119-0826 |
| Elsa Ivonne Villalobos | Clinical Social Worker | 2030 E Flamingo Rd, Suite 140, Las Vegas, NV 89119-0831 | |
| Janet E Baumann | Clinical Psychologist | 2030 E Flamingo, Suite 261, Las Vegas, NV 89119-0831 | |
| Find all physicians in zip 89119 | |||
| City | LAS VEGAS |
| Zip Code | 89119 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LAS VEGAS + DIAGNOSTIC RADIOLOGY |
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| 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.