Jacob C Smith (NPI# 1659714970, PAC ID# 8527202209) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1659714970 |
| PAC ID by PECOS | 8527202209 |
| Professional Enrollment ID | I20190621000504 |
| Full Name | Jacob C Smith |
| Organization Legal Name | NORTHWEST RADIOLOGISTS INC PS |
| Address |
4029 Northwest Ave Suite 101 Bellingham WA 98226-9078 |
| Phone Number | 3607520518 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 1456248368 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500030 | ST JOSEPH MEDICAL CENTER |
| 501329 | PEACEHEALTH UNITED GENERAL MEDICAL CENTER |
| 501340 | PEACEHEALTH PEACE ISLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2930 Squalium Pkwy, Suite 101, Bellingham, WA 98225-1854 | 3607330430 | MT BAKER IMAGING LLC |
| 4029 Northwest Ave, Suite 101, Bellingham, WA 98226-9078 | 3607520518 | NORTHWEST RADIOLOGISTS INC PS |
| 4029 Northwest Ave, Suite 101, Bellingham, WA 98226-9078 | 3607330430 | MT BAKER IMAGING LLC |
| Organization Legal Name | NORTHWEST RADIOLOGISTS INC PS |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew T Studley | Diagnostic Radiology | Northwest Radiologists Inc Ps | 2901 Sqaulicum Pkwy, Bellingham, WA 98225-1851 |
| Starla K Smit | Physician Assistant | Northwest Radiologists Inc Ps | 2901 Sqaulicum Pkwy, Bellingham, WA 98225-1851 |
| Peter C Buetow | Diagnostic Radiology | Northwest Radiologists Inc Ps | 2901 Sqaulicum Pkwy, Bellingham, WA 98225-1851 |
| Rachel Faye Gerson | Diagnostic Radiology | Northwest Radiologists Inc Ps | 2901 Sqaulicum Pkwy, Bellingham, WA 98225-1851 |
| Ann R Hardesty | Physician Assistant | Northwest Radiologists Inc Ps | 2901 Sqaulicum Pkwy, Bellingham, WA 98225-1851 |
| Erika L Myers | Nurse Practitioner | Northwest Radiologists Inc Ps | 2901 Sqaulicum Pkwy, Bellingham, WA 98225-1851 |
| Gita R Rabbani | Diagnostic Radiology | Northwest Radiologists Inc Ps | 2901 Sqaulicum Pkwy, Bellingham, WA 98225-1851 |
| Asra S Khan | Diagnostic Radiology | Northwest Radiologists Inc Ps | 2901 Sqaulicum Pkwy, Bellingham, WA 98225-1851 |
| Michael T Smith | Diagnostic Radiology | Northwest Radiologists Inc Ps | 2901 Sqaulicum Pkwy, Bellingham, WA 98225-1851 |
| Stephen J Buetow | Diagnostic Radiology | Northwest Radiologists Inc Ps | 2901 Sqaulicum Pkwy, Bellingham, WA 98225-1851 |
| Street Address |
4029 NORTHWEST AVE SUITE 101 |
| City | BELLINGHAM |
| State | WA |
| Zip | 98226-9078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Douglas Bradley | Physician Assistant | Sound Pain Alliance | 4029 Northwest Ave, Suite 301, Bellingham, WA 98226-9077 |
| Douglas L Stamp | Physician Assistant | Sound Pain Alliance | 4029 Northwest Ave, Suite 301, Bellingham, WA 98226-9077 |
| Nancy A Danke | Physician Assistant | Mt Baker Imaging LLC | 4029 Northwest Ave, Bellingham, WA 98226-9077 |
| Pandora L Drossos | Physical Therapy | Excel Physical Therapy Inc | 4029 Northwest Ave, Suite 302, Bellingham, WA 98226-9077 |
| Micah Lasley | Physician Assistant | Sound Pain Alliance | 4029 Northwest Ave, Suite 301, Bellingham, WA 98226-9077 |
| Vaughn Theodore Howe | Physician Assistant | Sound Pain Alliance | 4029 Northwest Ave, Suite 301, Bellingham, WA 98226-9077 |
| Brad L Goldworm | Physician Assistant | Sound Pain Alliance | 4029 Northwest Ave, Suite 301, Bellingham, WA 98226-9077 |
| Casey Inman | Nurse Practitioner | Sound Pain Alliance | 4029 Northwest Ave, Suite 301, Bellingham, WA 98226-9077 |
| Brent A Richardson | Anesthesiology | Sound Pain Alliance | 4029 Northwest Ave, Suite 301, Bellingham, WA 98226-9077 |
| Wesley D Sumrall | Physician Assistant | Sound Pain Alliance | 4029 Northwest Ave, Suite 301, Bellingham, WA 98226-9077 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther M Grummel | Clinical Social Worker | 3031 Orleans St, Suite 101, Bellingham, WA 98226-3557 | |
| Sally J Harper | Clinical Social Worker | 3031 Orleans St, Suite 101, Bellingham, WA 98226-3557 | |
| Nathan E Reiss | Clinical Psychologist | Northwest Behavioral Management, Inc. | 3031 Orleans St, Bellingham, WA 98226-3557 |
| Clarence N Leavitt Jr. | Chiropractic | 4200 Meridian St, Suite 101a, Bellingham, WA 98226-5546 | |
| Sylvia A Thorpe | Psychologist, Clinical | 4200 Meridian St, Suite 209, Bellingham, WA 98226-5593 | |
| Steven St Ma | Ophthalmology | Bellingham Bay Ophthalmology LLC | 3125 Howe Pl, Suite 101, Bellingham, WA 98226-5634 |
| James Min Kim | Ophthalmology | Bellingham Bay Ophthalmology LLC | 3125 Howe Pl, Suite 101, Bellingham, WA 98226-5634 |
| Timothy Arash Ekhlassi | Ophthalmology | Bellingham Bay Ophthalmology LLC | 3125 Howe Pl, Suite 101, Bellingham, WA 98226-5634 |
| Daniel L Eschbach | Chiropractic | 1402 E Sunset Dr, Bellingham, WA 98226-5635 | |
| Deborah M. Benz | Emergency Medicine | 4280 Meridian St, Suite 110, Bellingham, WA 98226-6464 | |
| Find all physicians in zip 98226 | |||
| City | BELLINGHAM |
| Zip Code | 98226 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BELLINGHAM + 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.