WASHINGTON NUCLEAR MEDICINE LLC (NPI# 1043632821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043632821 |
| Entity Type | Organization |
| Organization Name | WASHINGTON NUCLEAR MEDICINE LLC |
| Practice Address |
202 N Division St Plaza One Auburn WA 98001-4939 |
| Mailing Address |
16243 25th Ave Sw Burien WA 98166-2611 |
| Practice Telephone | 2533332574 |
| Mailing Telephone | 2062431315 |
| Mailing Fax Number | 2532882203 |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |
| Authorized Official Name | ANDREW THOMAS SHIELDS (OWNER) |
| Authorized Official Telephone | 2069635339 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
MD00024085 | WA | Allopathic & Osteopathic Physicians |
| Y | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
MD00024085 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
202 N DIVISION ST PLAZA ONE |
| City | AUBURN |
| State | WA |
| Zip Code | 98001-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335840 | Mark Flanery | Anesthesiology | 202 N Division St, Auburn, WA 98001-4939 | 2005-06-10 |
| 1053925834 | Marcellis Dodson-smith | Registered Nurse | 202 N Division St, Auburn, WA 98001-4939 | 2020-08-31 |
| 1548885916 | Christopher Charles Linderman | Registered Nurse | 202 N Division St, Auburn, WA 98001-4939 | 2020-06-11 |
| 1891315909 | Gage S Crowe | Nurse's Aide | 202 N Division St, Auburn, WA 98001-4939 | 2020-04-18 |
| 1154882736 | Sherry Wilson | Nurse Practitioner | 202 N Division St, Auburn, WA 98001-4939 | 2019-03-27 |
| 1447721857 | Todd Evan Im | Pharmacist | 202 N Division St, Auburn, WA 98001-4939 | 2018-12-10 |
| 1851899058 | Linh Huynh Libuit | Physician Assistant | 202 N Division St, Auburn, WA 98001-4939 | 2018-01-23 |
| 1194199703 | Stephanie Collins | Student in an Organized Health Care Education/Training Program | 202 N Division St, Auburn, WA 98001-4939 | 2015-11-19 |
| 1467824094 | Multicare Health Systems | Pharmacy | 202 N Division St, Auburn, WA 98001-4939 | 2015-10-22 |
| 1235500224 | Benjamin K Chan | Pharmacist | 202 N Division St, Auburn, WA 98001-4939 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336770403 | Qinghua Zhao | Massage Therapist | 1101 Outlet Collection Way #1324, Auburn, WA 98001 | 2020-01-28 |
| 1841821154 | Sufang Liang | Massage Therapist | 1101 Outlet Collection Way, #1324, Auburn, WA 98001 | 2020-01-27 |
| 1477024537 | Kayla R Kranz | Dietitian, Registered | 202 N. Division Street, Mailstop: 202-c1-ns, Auburn, WA 98001 | 2018-12-16 |
| 1477028033 | Xioaping Liu | Acupuncturist | 201 S Division St Suite F, Auburn, WA 98001 | 2018-10-10 |
| 1831670041 | Debbie Kay Scott | Dental Hygienist | 4005 W Valley Hwy N, Auburn, WA 98001 | 2018-08-25 |
| 1447739537 | Cynthia Ann Kenaston | Registered Nurse | Soundpath Health, 32129 Weyerhaeuser Way S. Suite 201, Federal Way, WA 98001 | 2018-08-09 |
| 1104316447 | Stella Ngozi Igwala | Registered Nurse | 213 Junction Blvd, Algona, WA 98001 | 2018-05-11 |
| 1194222737 | Multicare Health System | Durable Medical Equipment & Medical Supplies | Plaza Two, 202 N Division St, #103, Auburn, WA 98001 | 2018-04-10 |
| 1134638679 | Jane Mburu | Registered Nurse | 29568 54th Court S, Auburn, WA 98001 | 2017-09-27 |
| 1467961219 | Messay A Belachew | Registered Nurse | 29717 48th Ave S, Auburn, WA 98001 | 2017-09-25 |
| Find all providers in zip 98001 | ||||
| Taxonomy Code | 207UN0902X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Imaging & Therapy |
| A nuclear medicine physician who specializes in nuclear imaging and therapy. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891063020 | Zaman Javaheri | Nuclear Medicine | 14561 Curry Ct, Auburn, CA 95602-8488 | 2011-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366769630 | Robert Alan Schor | Nuclear Medicine | 9261 Se 46th St, Mercer Island, WA 98040-4408 | 2010-04-27 |
| 1477650943 | Joseph Gnanaprasad Rajendran | Nuclear Medicine | Nuclear Medicine, Box 356113, Univerity of Washington, 1959 Ne Pacific Street, Seattle, WA 98195 | 2006-09-19 |
| 1578803839 | Multicare Health System | Nuclear Medicine | 17700 Se 272nd St, Covington, WA 98042-4951 | 2013-02-25 |
| 1407013253 | Daniel Scott Tubbs | Nuclear Medicine | 4815 N Assembly St, Spokane, WA 99205-6185 | 2008-05-20 |
| 1962525527 | Puyallup Endocrine & Nuclear Medicine Clinics | Nuclear Medicine | 1011 E Main Ave, Suite 302, Puyallup, WA 98372-6775 | 2007-04-09 |
| 1326184813 | Hedieh Khalatbari | Nuclear Medicine | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2007-01-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.