John Dewolfe Mackenzie (NPI# 1437356268, PAC ID# 9931291689) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1437356268 |
| PAC ID by PECOS | 9931291689 |
| Professional Enrollment ID | I20070825000081 |
| Full Name | John Dewolfe Mackenzie |
| Organization Legal Name | RADIA INC PS |
| Address |
55 Uranus Ter San Francisco CA 94114-1829 |
| Phone Number | 4255631516 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9931012812 |
| Number of Group Practice Members | 214 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500024 | PROVIDENCE ST PETER HOSPITAL |
| 500050 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| 500025 | SWEDISH MEDICAL CENTER / CHERRY HILL |
| 500051 | OVERLAKE HOSPITAL MEDICAL CENTER |
| 500124 | EVERGREEN HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 55 Uranus Ter, San Francisco, CA 94114-1829 | 4255631516 | RADIA INC PS |
| Organization Legal Name | RADIA INC PS |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judson E Threlkeld | Diagnostic Radiology | Radia Inc Ps | 19020 33 Rd Ave W, Suite 210, Lynnwood, WA 98036-4748 |
| Michael Scot Fishman | Diagnostic Radiology | Radia Inc Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Philip J Vogelzang | Interventional Radiology | Radia Inc Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Sanjiv R Parikh | Diagnostic Radiology | Radia Inc Ps | 1035 116 Ave Ne, Bellevue, WA 98004-4604 |
| Steve L Yang | Diagnostic Radiology | Radia Inc Ps | 19020 33 Rd Ave W, Suite 210, Lynnwood, WA 98036-4748 |
| Lynda Jo Storm | Physician Assistant | Radia Inc Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Michael Shane Siem | Physician Assistant | Radia Inc Ps | 1035 116 Ave Ne, Bellevue, WA 98004-4604 |
| Aaron Yiu-kai Fu | Diagnostic Radiology | Radia Inc Ps | 21601 76th Ave W, Edmonds, WA 98026-7507 |
| Michael D Morich | Diagnostic Radiology | Radia Inc Ps | 19020 33 Rd Ave W, Suite 210, Lynnwood, WA 98036-4748 |
| Mark Aaron Wilson | Diagnostic Radiology | Radia Inc Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Street Address |
55 URANUS TER |
| City | SAN FRANCISCO |
| State | CA |
| Zip | 94114-1829 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wenwu Jin | Urology | Golden Gate Urology Inc | 45 Castro St, Suite 165, San Francisco, CA 94114-1010 |
| Warren T Kim | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 45 Castro St, San Francisco, CA 94114-1010 |
| Nazia F Jafri | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 45 Castro St, San Francisco, CA 94114-1010 |
| Edward J Collins | Urology | Golden Gate Urology Inc | 45 Castro St, Suite 165, San Francisco, CA 94114-1010 |
| Jennifer Trinh Leung | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 45 Castro St, San Francisco, CA 94114-1010 |
| Christine Miculob Ainza | Nurse Practitioner | Sutter Bay Medical Foundation | 45 Castro St, Suite 175a, San Francisco, CA 94114-1010 |
| Brian P Grady | Urology | Golden Gate Urology Inc | 45 Castro St, Suite 165, San Francisco, CA 94114-1010 |
| Robert Kahn | Urology | Golden Gate Urology Inc | 45 Castro St, Suite 165, San Francisco, CA 94114-1010 |
| Raul A Hernandez | Urology | Golden Gate Urology Inc | 45 Castro St, Suite 165, San Francisco, CA 94114-1010 |
| Brian K. Bronzo | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 45 Castro St, San Francisco, CA 94114-1010 |
| Find all physicians in zip 94114 | |||
| City | SAN FRANCISCO |
| Zip Code | 94114 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SAN FRANCISCO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on John Dewolfe Mackenzie.
| 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.