PUYALLUP IMAGING CONSULTANTS LLC (NPI# 1083911127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083911127 |
| Entity Type | Organization |
| Organization Name | PUYALLUP IMAGING CONSULTANTS LLC |
| Practice Address |
12623 Meridian E Suite A1 Puyallup WA 98373-3469 |
| Practice Telephone | 2534355195 |
| Practice Fax Number | 2534355482 |
| Mailing Telephone | 2534355195 |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |
| Authorized Official Name | MR. NELSON GOEHLE (CEO) |
| Authorized Official Telephone | 2534355195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
603071995 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
12623 MERIDIAN E SUITE A1 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98373-3469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801877618 | Puyallup Open Imaging LLC | Radiologic Technologist | 12623 Meridian E, Ste A1, Puyallup, WA 98373-3469 | 2005-11-09 |
| 1083739759 | Lisa Malone | Technician/Technologist | 12623 Meridian E, B1-a, Puyallup, WA 98373-3469 | 2007-03-20 |
| 1538216882 | Donald R Turner | Optometrist | 12623 Meridian E, Suite B1-a, Puyallup, WA 98373-3469 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
| 1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
| 1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
| 1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
| 1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
| 1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
| 1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
| Find all providers in zip 98373 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811974652 | Thomas Kieran Curry | Radiology | 1450 5th St Se # 220, Puyallup, WA 98372-4602 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497318588 | Stephanie Sobrepera | Radiology | Radiology Department Rr 210 1959 Ne Pacific Street, Seattle, WA 98195-3450 | 2019-04-15 |
| 1104236322 | Thomas John Kofler | Radiology | 1301 Willard Ave W, Seattle, WA 98119-3460 | 2014-04-28 |
| 1689991655 | Zachariah Kramer | Radiology | 700 Lincoln Street Suite 100, Longview Radiologists, Kelso, WA 98626 | 2010-04-29 |
| 1235368564 | Lakhwant Singh | Radiology | 2916 Nw Bucklin Hill Rd #381, Silverdale, WA 98383 | 2009-07-08 |
| 1841310323 | Timnit Ghermay | Radiology | 1201 Pacific Ave, Suite 400, Tacoma, WA 98402-4301 | 2007-03-30 |
| 1902870827 | Overlake Imaging Associates PC | Radiology | 1417 116th Ave Ne Ste 212, Bellevue, WA 98004-3821 | 2006-02-15 |
| 1740268325 | Mark D. Papenhausen | Radiology | 3216 Norton Ave, Suite 201, Everett, WA 98201-4290 | 2006-01-04 |
| 1942287859 | Louis I. Juravsky | Radiology | 2412 N 43rd St, Seattle, WA 98103-7644 | 2005-12-30 |
| 1679193205 | Sound Vascular, P.s. | Radiology | 32014 32nd Ave S, Federal Way, WA 98001-9625 | 2020-04-23 |
| 1003252776 | Provascular Diagnostic and Imaging Pllc | Radiology | 202 N Division St, Suite 200, Auburn, WA 98001-4939 | 2013-05-21 |
| Find all providers with the same taxonomy | ||||
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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.