Grady R Hartzog (NPI# 1023039062, PAC ID# 8527195460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1023039062 |
| PAC ID by PECOS | 8527195460 |
| Professional Enrollment ID | I20100423000494 |
| Full Name | Grady R Hartzog |
| Organization Legal Name | VIRGINIA MASON MEDICAL CENTER |
| Address |
1344 Wintergreen Ln Ne Bainbridge Island WA 98110-5118 |
| Phone Number | 2068425632 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9830002617 |
| Number of Group Practice Members | 739 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500005 | VIRGINIA MASON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110-5118 | 2068425632 | VIRGINIA MASON MEDICAL CENTER |
| 380 Winslow Way E, Virginia Mason Winslow, Bainbridge Island, WA 98110-2424 | 2068425632 | VIRGINIA MASON MEDICAL CENTER |
| 222 112th Ave Ne, Bellevue, WA 98004-5815 | 4256371855 | VIRGINIA MASON MEDICAL CENTER |
| 7315 212th St Sw, Suite 101, Edmonds, WA 98026-7610 | 4257759424 | VIRGINIA MASON MEDICAL CENTER |
| 33501 1st Way S, Federal Way, WA 98003-6208 | 2538382400 | VIRGINIA MASON MEDICAL CENTER |
| 100 Ne Gillman Blvd, Issaquah, WA 98027-2925 | 4255578000 | VIRGINIA MASON MEDICAL CENTER |
| 100 Ne Gilman Blvd, Virginia Mason Issaquah, Issaquah, WA 98027-2925 | 4255578000 | VIRGINIA MASON MEDICAL CENTER |
| 11800 Ne 128th St, Suite 300, Kirkland, WA 98034-7211 | 4258145100 | VIRGINIA MASON MEDICAL CENTER |
| 19116 33rd Ave W, Virginia Mason Lynnwood, Lynnwood, WA 98036-4706 | 4257127900 | VIRGINIA MASON MEDICAL CENTER |
| 1100 9th Ave, Seattle, WA 98101-2756 | VIRGINIA MASON MEDICAL CENTER | |
| 2671 Ne 46th St, Seattle, WA 98105-5041 | 2065258000 | VIRGINIA MASON MEDICAL CENTER |
| 4575 Sand Point Way Ne, 108 Virginia Mason Sand Point, Seattle, WA 98105-3999 | 2065258000 | VIRGINIA MASON MEDICAL CENTER |
| 4575 Sandpoint Way Ne, Seattle, WA 98105-3999 | 2065258000 | VIRGINIA MASON MEDICAL CENTER |
| 925 Seneca St, Virginia Mason Hospital, Seattle, WA 98101-2742 | 2062236600 | VIRGINIA MASON MEDICAL CENTER |
| Organization Legal Name | VIRGINIA MASON MEDICAL CENTER |
| Physicians | 827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pegah Safaeian | Physical Medicine and Rehabilitation | Virginia Mason Medical Center | 19116 33rd Ave W, Virginia Mason Lynnwood, Lynnwood, WA 98036-4706 |
| Elizabeth S Cochrane | Pediatric Medicine | Virginia Mason Medical Center | 2671 Ne 46th St, Seattle, WA 98105-5041 |
| Rachel A Freund | Psychologist, Clinical | Virginia Mason Medical Center | 1100 Olive Way, Suite 531, Seattle, WA 98101-1873 |
| Tatiana V Aron | Physician Assistant | Virginia Mason Medical Center | 100 Ne Gillman Blvd, Issaquah, WA 98027-2925 |
| Kristin A Riley | Obstetrics/gynecology | Virginia Mason Medical Center | 1100 9th Ave, Seattle, WA 98101-2756 |
| Laura R Wendzich | Physician Assistant | Virginia Mason Medical Center | 222 112th Ave Ne, Bellevue, WA 98004-5815 |
| Jennifer R Kohr | Diagnostic Radiology | Virginia Mason Medical Center | 100 Ne Gilman Blvd, Virginia Mason Issaquah, Issaquah, WA 98027-2925 |
| Stephen A Lopez | Hospitalist | Virginia Mason Medical Center | 925 Seneca St, Virginia Mason Hospital, Seattle, WA 98101-2742 |
| Heather M Lesnik | Certified Registered Nurse Anesthetist (crna) | Virginia Mason Medical Center | 33501 1st Way S, Federal Way, WA 98003-6208 |
| Philip W Royal | Internal Medicine | Virginia Mason Medical Center | 4575 Sandpoint Way Ne, Seattle, WA 98105-3999 |
| Street Address |
1344 WINTERGREEN LN NE |
| City | BAINBRIDGE ISLAND |
| State | WA |
| Zip | 98110-5118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce E Gottlieb | Internal Medicine | Virginia Mason Medical Center | 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110-5118 |
| Robert S Hurlow | Family Medicine | Franciscan City Urgent Care Services | 1344 Wintergreen Ln Ne, Suite 100, Bainbridge Island, WA 98110-5118 |
| Shannon D Gates | Emergency Medicine | Franciscan City Urgent Care Services | 1344 Wintergreen Ln Ne, Suite 100, Bainbridge Island, WA 98110-5118 |
| Bianca M Maggio | Physical Therapy | Virginia Mason Medical Center | 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110-5118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Serena Bouska Matthews | Occupational Therapy | 11287 Fieldstone Ne Ln, Bainbridge Island, WA 98110 | |
| Gloria W Sayler | Clinical Social Worker | 16821 Agate Pass Rd Ne, Bainbridge Is, WA 98110-1042 | |
| Jakdej J Nikomborirak | Sleep Medicine | 9638 Ne Lafayette Ave, Bainbridge Island, WA 98110-1115 | |
| Jane Ellen Curtis | Psychologist, Clinical | 11290 Sunrise Dr Ne, Suite B, Bainbridge Island, WA 98110-1353 | |
| Sharon L Kuznetsov | Occupational Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Keith R Heinzelman | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Tricia Ann Fong | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Kelly B Kim-campo | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Garett Martin Jacobson | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Robyn H Dabell | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Find all physicians in zip 98110 | |||
| City | BAINBRIDGE ISLAND |
| Zip Code | 98110 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BAINBRIDGE ISLAND + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Grady R Hartzog.
| 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.