NORTHWEST RADIOLOGISTS INC., P.S. (NPI# 1336323047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336323047 |
| Entity Type | Organization |
| Organization Name | NORTHWEST RADIOLOGISTS INC., P.S. |
| Other Organization Name | MT. BAKER PAIN CLINIC |
| Practice Address |
4029 Northwest Ave Suite 301a Bellingham WA 98226-9077 |
| Practice Telephone | 3607330430 |
| Practice Fax Number | 3607330438 |
| Mailing Telephone | 3607330430 |
| Mailing Fax Number | 3605944012 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | STACY MILLAR (DIRECTOR, REVENUE CYCLE) |
| Authorized Official Telephone | 3607889004 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST RADIOLOGISTS INC PS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CRIME VICTIMS PROVIDER # | 8904202 | 01 |
| WA | DLI PROVIDER # | 0185434 | 01 |
| WA | 7122831 | 05 |
| Other Name | Type Code |
|---|---|
| Mt. Baker Pain Clinic | Doing Business As Name - Organization |
| Street Address |
4029 NORTHWEST AVE SUITE 301A |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98226-9077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952399719 | Michael F Obergottsberger | Specialist/Technologist | 4029 Northwest Ave, Suite 302, Bellingham, WA 98226-9077 | 2005-10-06 |
| 1457695116 | Sound Pain Alliance | Clinic/Center | 4029 Northwest Ave, Bellingham, WA 98226 | 2012-11-19 |
| 1205196649 | Mt Baker Surgery Center, LLC | Clinic/Center | 4029 Northwest Ave, Suite 301, Bellingham, WA 98226-9077 | 2012-05-18 |
| 1326308982 | Sound Pain Alliance | Clinic/Center | 4029 Northwest Ave, Bellingham, WA 98226-9077 | 2012-05-16 |
| 1265748016 | Wendy Lucille Tan | Registered Nurse | 4029 Northwest Ave, Suite 301, Bellingham, WA 98226-9077 | 2010-08-30 |
| 1740322304 | Excel Physical Therapy Inc. | Clinic/Center | 4029 Northwest Ave, Suite #302, Bellingham, WA 98226-9077 | 2007-02-12 |
| 1831128099 | Lisa G Obergottsberger | Physical Therapist | 4029 Northwest Ave, Suite #302, Bellingham, WA 98226-9077 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901090 | Advancement Northwest, LLC | Community/Behavioral Health | 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 | 2020-01-13 |
| 1295374882 | Unity Care Northwest | Community/Behavioral Health | Roosevelt Elementary School Bh Services, 2900 Yew St., Bellingham, WA 98226 | 2019-12-30 |
| 1710454913 | Shane Humason | Pharmacist | 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 | 2018-10-26 |
| 1508342759 | Lydia Place A Nonprofit Corporation | Counselor | 1430 North Garden Street, Bellingham, WA 98226 | 2018-07-11 |
| 1609384486 | Lindsay Grace Davis | Massage Therapist | 1572 Huntley Rd, Bellingham, WA 98226 | 2018-01-16 |
| 1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
| 1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
| 1063935310 | Sophie Elizabeth Kangas | Speech-Language Pathologist | 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 | 2017-07-19 |
| 1639607849 | Sharon Lynn Katz-kunde | Physical Therapist | 317 E Mcleod Rd #101, Bellingham, WA 98226 | 2017-06-01 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| Find all providers in zip 98226 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952852873 | Pacific Northwest Urology Specialists, Pllc | Clinic/Center | 3232 Squalicum Pkwy, Bellingham, WA 98225-1932 | 2016-10-14 |
| 1194047092 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 4330 Mitchell Way, Bellingham, WA 98226 | 2010-02-18 |
| 1013243393 | Mt Baker Pain Clinic, P.s. | Clinic/Center | 4029 Northwest Ave Ste 303, Bellingham, WA 98226-9077 | 2009-10-21 |
| 1144370784 | Bellingham Ear Nose Throat and Facial Surgery Inc | Clinic/Center | 2940 Squalicum Pkwy Ste 203, Bellingham, WA 98225-1892 | 2007-01-12 |
| 1801989710 | Anthony S Karuza Dpm Ps Inc | Clinic/Center | 3120 Squalicum Pkwy, Bellingham, WA 98225-1934 | 2006-10-02 |
| 1184607061 | Pacific Rim Outpatient Surgery Center, Limited Liability Company | Clinic/Center | 3009 Squalicum Pkwy, Bellingham, WA 98225 | 2005-11-23 |
| 1043690126 | Bellingham Urology Group, Pllc | Clinic/Center | 340 Birchwood Ave, Bellingham, WA 98225-1782 | 2015-06-04 |
| 1275938102 | Fourth Corner Neurosurgical Associates Inc Ps | Clinic/Center | 710 Birchwood Ave, Suite 101, Bellingham, WA 98225-1720 | 2014-11-04 |
| 1457695116 | Sound Pain Alliance | Clinic/Center | 4029 Northwest Ave, Bellingham, WA 98226 | 2012-11-19 |
| 1205196649 | Mt Baker Surgery Center, LLC | Clinic/Center | 4029 Northwest Ave, Suite 301, Bellingham, WA 98226-9077 | 2012-05-18 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98226 |
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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.