WESTERN RADIOLOGY IMAGING LLC (NPI# 1144332453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144332453 |
| Entity Type | Organization |
| Organization Name | WESTERN RADIOLOGY IMAGING LLC |
| Other Organization Name | VIA RADIOLOGY - MERIDIAN PAVILION |
| Practice Address |
11011 Meridian Ave N Suite 101 Seattle WA 98133-8967 |
| Mailing Address |
Po Box 24722 Seattle WA 98124-0722 |
| Practice Telephone | 2063061011 |
| Practice Fax Number | 2063061019 |
| Mailing Telephone | 2063061011 |
| Mailing Fax Number | 2063061019 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | LORI GANAL (CONTROLLER) |
| Authorized Official Telephone | 2063654100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
UBI 602469354 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7135825 | 05 | |
| WA | OWCP | 613160100 | 01 |
| WA | RR MEDI | DF0569 | 01 |
| WA | UBI# | 602469354 | 01 |
| WA | GROUP L&I | 206464 | 01 |
| WA | REGENCE GROUP# | 7028WE | 01 |
| Other Name | Type Code |
|---|---|
| Via Radiology - Meridian Pavilion | Other Name - Individual/Organization |
| Street Address |
11011 MERIDIAN AVE N SUITE 101 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-8967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669449062 | Thomas King | Internal Medicine | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2006-03-03 |
| 1538601927 | Elizabeth Marie Storch Goldberg | Nurse Practitioner | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2016-11-16 |
| 1902259468 | Northgate Endodontics | Dentist | 11011 Meridian Ave N, Suite 309, Seattle, WA 98133-8967 | 2016-07-20 |
| 1134509995 | The Polyclinic | Allergy & Immunology | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2015-06-05 |
| 1063751527 | North Seattle Orthodontics Ps | Dentist | 11011 Meridian Ave N, Ste. 304, Seattle, WA 98133-8967 | 2013-02-04 |
| 1063787448 | Laura Bovee | Internal Medicine | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2012-03-19 |
| 1518287705 | Kimberly Vanderzee | Family Medicine | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2010-06-10 |
| 1649429044 | Hong Li | Dentist | 11011 Meridian Ave N, Ste. 104, Seattle, WA 98133-8967 | 2008-09-10 |
| 1861672255 | Patricia Ann Koning | Dentist | 11011 Meridian Ave N, 104, Seattle, WA 98133-8967 | 2007-11-14 |
| 1972701910 | Diana Cristea | Dentist | 11011 Meridian Ave N, Suite #104, Seattle, WA 98133-8967 | 2007-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325710 | Proliance Surgeons, Inc., P.s. | Radiology | 1101 Madison St Ste 580, Seattle, WA 98104-4305 | 2020-01-07 |
| 1447711544 | Ashkan Jonathan Ahmadian | Radiology | 1959 Ne Pacific Street Radiology Department Rr 210, Seattle, WA 98195-1019 | 2019-03-29 |
| 1639653017 | Radia Imaging Center Holdings LLC | Radiology | 1229 Madison St Ste 900, Seattle, WA 98104-1391 | 2018-09-20 |
| 1427546597 | Kiet Van Vo | Radiology | 1959 Ne Pacific St # 357115, Seattle, WA 98195-0001 | 2018-04-24 |
| 1861846057 | Ethan Hua | Radiology | Radiology Department Rr 210 1959 Ne Pacific, Seattle, WA 98195-0001 | 2016-04-14 |
| 1437537354 | Mahmood Albahhar | Radiology | 4245 Roosevelt Way Ne Box 354755, University of Washington Medical Center, Seattle, WA 98105 | 2015-05-12 |
| 1336533991 | Keegan Hovis | Radiology | 1959 Ne Pacific Street Radiology Department, Seattle, WA 98195-3358 | 2015-03-22 |
| 1356740930 | Mazen E Zawaideh | Radiology | 588 Bell St Unit 3705, Seattle, WA 98121-1923 | 2014-08-19 |
| 1962821991 | Berthina B. Coleman | Radiology | 747 Broadway, Suite Ww- 739, Swedish Medical Center, General Surgery Residency Progr, Seattle, WA 98122-4307 | 2014-04-07 |
| 1295153120 | Peyvand Pordeli | Radiology | Department of Radiology Body Image Section, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195-7115 | 2014-03-28 |
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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.