Jedidiah J Malan (NPI# 1396966040, PAC ID# 9234200585) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1396966040 |
| PAC ID by PECOS | 9234200585 |
| Professional Enrollment ID | I20080614000073 |
| Full Name | Jedidiah J Malan |
| Organization Legal Name | FAIRBANKS MEDICAL IMAGING LLC |
| Address |
250 Hospital Pl Soldotna AK 99669-7559 |
| Phone Number | 3604246161 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4082894407 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020024 | CENTRAL PENINSULA GENERAL HOSPITAL |
| 500003 | SKAGIT VALLEY HOSPITAL |
| 500007 | ISLAND HOSPITAL |
| 500060 | CASCADE VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1211 24th St, Anacortes, WA 98221-2562 | 3604246161 | SKAGIT RADIOLOGY INC PS |
| 1344 King St, Suite 101, Bellingham, WA 98229-6215 | 3604246161 | BELLINGHAM ADVANCED MEDICAL IMAGING LLC |
| 2310 Peger Rd, Suite 102, Fairbanks, AK 99709-5305 | 3604246161 | FAIRBANKS MEDICAL IMAGING LLC |
| 2310 Peger Rd, Suite 102, Fairbanks, AK 99709-5305 | SKAGIT DIGITAL IMAGING LLC | |
| 2310 Peger Rd, Suite 102, Fairbanks, AK 99709-5305 | 3604246161 | SKAGIT RADIOLOGY INC PS |
| 2310 Peger Rd, Suite 102, Fairbanks, AK 99709-5305 | NORTH STAR MEDICAL IMAGING PLLC | |
| 2310 Peger Rd, Suite 102, Fairbanks, AK 99709-5305 | BELLINGHAM ADVANCED MEDICAL IMAGING LLC | |
| 1310 E Division St, Mount Vernon, WA 98274-4133 | 3604287246 | FAIRBANKS MEDICAL IMAGING LLC |
| 1320 E Division St, Mount Vernon, WA 98274-4133 | 3604246161 | FAIRBANKS MEDICAL IMAGING LLC |
| 1320 E Division St, Mount Vernon, WA 98274-4133 | SKAGIT DIGITAL IMAGING LLC | |
| 1320 E Division St, Mount Vernon, WA 98274-4133 | SKAGIT RADIOLOGY INC PS | |
| 1320 E Division St, Mount Vernon, WA 98274-4133 | NORTH STAR MEDICAL IMAGING PLLC | |
| 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 3604246161 | SKAGIT RADIOLOGY INC PS |
| 250 Hospital Pl, Soldotna, AK 99669-7559 | 3604246161 | FAIRBANKS MEDICAL IMAGING LLC |
| 250 Hospital Pl, Soldotna, AK 99669-7559 | SKAGIT RADIOLOGY INC PS | |
| 250 Hospital Pl, Soldotna, AK 99669-7559 | NORTH STAR MEDICAL IMAGING PLLC |
| Organization Legal Name | FAIRBANKS MEDICAL IMAGING LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn Lewis Call | Diagnostic Radiology | Fairbanks Medical Imaging LLC | 1344 King St, Suite 101, Bellingham, WA 98229-6215 |
| Jesse J Kincaid | Diagnostic Radiology | Fairbanks Medical Imaging LLC | 1310 E Division St, Mount Vernon, WA 98274-4133 |
| Feiyu Xue | Diagnostic Radiology | Fairbanks Medical Imaging LLC | 1310 E Division St, Mount Vernon, WA 98274-4133 |
| Jamie R Wong | Diagnostic Radiology | Fairbanks Medical Imaging LLC | 1211 24th St, Anacortes, WA 98221-2562 |
| Muneer J Desai | Diagnostic Radiology | Fairbanks Medical Imaging LLC | 3822 Colby Ave, Suite 100, Everett, WA 98201-4913 |
| Aaron T Yu | Diagnostic Radiology | Fairbanks Medical Imaging LLC | 2310 Peger Rd, Suite 102, Fairbanks, AK 99709-5305 |
| Laurence D Cambron | Diagnostic Radiology | Fairbanks Medical Imaging LLC | 330 S Stillaguamish Ave, Arlington, WA 98223-1642 |
| Kelley L Cline | Diagnostic Radiology | Fairbanks Medical Imaging LLC | 3822 Colby Ave, Suite 100, Everett, WA 98201-4913 |
| Scott D Harrison | Diagnostic Radiology | Fairbanks Medical Imaging LLC | 1211 24th St, Anacortes, WA 98221-2562 |
| Daniel Dt Pham | Diagnostic Radiology | Fairbanks Medical Imaging LLC | 3822 Colby Ave, Suite 100, Everett, WA 98201-4913 |
| Street Address |
250 HOSPITAL PL |
| City | SOLDOTNA |
| State | AK |
| Zip | 99669-7559 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa C Chihuly | Certified Registered Nurse Anesthetist (crna) | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Katherine M F Becher | Nurse Practitioner | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Amanda Lee | Certified Registered Nurse Anesthetist (crna) | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Gregg K Motonaga | Anesthesiology | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Aaron M Wonnacott | Emergency Medicine | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Darren Eugene Mullins | Hematology/oncology | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| James A Levine | Emergency Medicine | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Nicholas James Josten | Anesthesiology | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Justin P Evans | Anesthesiology | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Justin R Warix | Emergency Medicine | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill Skidmore-erickson | Physical Therapy | Alaskan Physical Therapy, Inc | 36275 Kenai Spur Hwy, Soldotna, AK 99669-7157 |
| Kristin L Eastman | Dermatology | 209 W Katmai Ave, Soldotna, AK 99669-7409 | |
| Ken Youngberg | Clinical Social Worker | 232 W Rockwell Ave, Soldotna, AK 99669-7411 | |
| Aaron Haynes | Hospitalist | South Sound Inpatient Physicians Pllc | 232 W Rockwell Ave, Soldotna, AK 99669-7411 |
| Christina M Turknett | Nurse Practitioner | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Lavern R Davidhizar | Family Medicine | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Patty Marie Bilbrey | Nurse Practitioner | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Solomon M Pearce | Physical Medicine and Rehabilitation | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Evelyn Louise Clough | Nurse Practitioner | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Carol M James | Nurse Practitioner | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Find all physicians in zip 99669 | |||
| City | SOLDOTNA |
| Zip Code | 99669 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SOLDOTNA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jedidiah J Malan.
| 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.