PACIFIC NORTHWEST RADIOLOGY LLC (NPI# 1306011473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306011473 |
| Entity Type | Organization |
| Organization Name | PACIFIC NORTHWEST RADIOLOGY LLC |
| Practice Address |
602 Chase Avenue Cordova AK 99574-0160 |
| Mailing Address |
Po Box 26570 Fresno CA 93729-6570 |
| Practice Telephone | 9074248000 |
| Mailing Telephone | 5416877134 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | BURT LOESSBERG (CEO) |
| Authorized Official Telephone | 5416877134 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7140551 | 05 | |
| OR | MDG34OR | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992975122 | Pacific Northwest Radiology LLC | Radiology | 310 Bennett St, Wrangell, AK 99929 | 2008-03-04 |
| 1528284387 | Pacific Northwest Radiology LLC | Radiology | 12175 Glacier Hwy, Unit E 203, Juneau, AK 99801-8630 | 2007-04-18 |
| 1376762526 | Pacific Northwest Radiology LLC | Radiology | 103 Fram St, Petersburg, AK 99833 | 2007-04-25 |
| 1972729762 | Pacific Northwest Radiology LLC | Radiology | 209 Moller Ave, Sitka, AK 99835-7142 | 2007-04-18 |
| Street Address |
602 CHASE AVENUE |
| City | CORDOVA |
| State | AK |
| Zip Code | 99574-0160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962570903 | Cordova Community Hospital | Medicare Defined Swing Bed Unit | 602 Chase Avenue, Cordova, AK 99574-0160 | 2006-11-30 |
| 1225503444 | Elizabeth Collins | Case Manager/Care Coordinator | 602 Chase Avenue, Cordova, AK 99574 | 2018-10-04 |
| 1114207297 | Sandra Cleveland Aspen | Registered Nurse | 602 Chase Avenue, Cordova, AK 99574-1092 | 2011-08-22 |
| 1033329560 | David R. Bryant | Social Worker | 602 Chase Avenue, Cordova, AK 99574-1092 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355390 | Delia M. Reyes | Nurse Practitioner | 705 2nd St., Cordova, AK 99574 | 2020-10-29 |
| 1497376750 | Myaliesa Bingham | Massage Therapist | 622 1st St #201, Cordova, AK 99574 | 2020-04-28 |
| 1154951408 | Richard Donald Bingham | Chiropractor | 622 1st Street, 201, Cordova, AK 99574 | 2020-01-24 |
| 1497230353 | Acupuncture & Wellness of Cordova | Acupuncturist | 520 2nd Street, Cordova, AK 99574 | 2018-09-26 |
| 1659869295 | Joan Catherine Herschleb | Acupuncturist | 520 Second Street, Cordova, AK 99574 | 2018-04-30 |
| 1134534712 | Brian Iutzi | Family Medicine | Ilanka Clinic, 705 2nd Street, Cordova, AK 99574 | 2014-06-23 |
| 1356776165 | Susan E.c. Powell | Counselor | 705 Second Street, Cordova, AK 99574 | 2013-09-11 |
| 1962679878 | City of Cordova | Ambulance | 602 Railroad Ave, Cordova, AK 99574 | 2008-05-09 |
| 1568649374 | Laurie A Phillips | Case Manager/Care Coordinator | 602 Chase, Cordova, AK 99574 | 2008-01-23 |
| 1578749412 | Kris Susan Johnston | Case Manager/Care Coordinator | 602 Chase Ave., Cordova, AK 99574 | 2008-01-10 |
| Find all providers in zip 99574 | ||||
| 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 |
|---|---|---|---|---|
| 1669816310 | Culver Craddock | Radiology | 7612 Thorn Tree Ln, Cordova, TN 38016-8776 | 2013-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619437373 | Iv Radiology Medical Group | Radiology | 9178 Eagle River Ln, Eagle River, AK 99577-6819 | 2019-03-20 |
| 1316328263 | Telerad Account Management of Alaska LLC | Radiology | 3868 N Forestwood Dr, Palmer, AK 99645-9669 | 2015-06-17 |
| 1386986917 | Elaine Clark Pigman | Radiology | Alaska Radiology Associates, 3650 Piper St. Suite A, Anchorage, AK 99508 | 2013-03-21 |
| 1396011300 | Alexander Glen Wright | Radiology | 3650 Piper Street Ste A, Anchorage, AK 99508 | 2012-03-25 |
| 1063785749 | Jonathan Rasmussen | Radiology | 1060 Gaffney Rd Dept Of, Ft Wainwright, AK 99703-5002 | 2012-02-11 |
| 1669705562 | Matrix Radiology Associates, LLC | Radiology | 2440 E Tudor Rd, #238, Anchorage, AK 99507-1185 | 2009-09-09 |
| 1659500866 | William W. Resinger | Radiology | 17330 East Huntley Rd., Palmer, AK 99645-0839 | 2009-07-09 |
| 1992975122 | Pacific Northwest Radiology LLC | Radiology | 310 Bennett St, Wrangell, AK 99929 | 2008-03-04 |
| 1336348937 | Aurora Diagnostic Imaging LLC | Radiology | 3419 Airport Way Ste D, Fairbanks, AK 99709-4761 | 2007-07-13 |
| 1356560908 | Pacific Northwest Radiology | Radiology | 34 Lavalle Ct, Unalaska, AK 99685-1202 | 2007-04-24 |
| 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.