Michael R Nelsen (NPI# 1124028568, PAC ID# 5395772453) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1124028568 |
| PAC ID by PECOS | 5395772453 |
| Professional Enrollment ID | I20050720000433 |
| Full Name | Michael R Nelsen |
| Organization Legal Name | VANTAGE RADIOLOGY AND DIAGNOSTIC SERVICES, A PROFESSIONAL SERVICES COR |
| Address |
202 N Division St Plaza One Auburn Reg Med Ctr Auburn WA 98001-4939 |
| Phone Number | 2538337711 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 8224937917 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500088 | VALLEY MEDICAL CENTER |
| 500015 | MULTICARE AUBURN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 202 N Division St Plaza One, Auburn Reg Med Ctr, Auburn, WA 98001-4939 | 2538337711 | VANTAGE RADIOLOGY AND DIAGNOSTIC SERVICES, A PROFESSIONAL SERVICES COR |
| 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 | 4256565550 | VANTAGE RADIOLOGY AND DIAGNOSTIC SERVICES, A PROFESSIONAL SERVICES COR |
| 4033 Talbot Rd S, 470 Valley Breast Ctr, Renton, WA 98055-5700 | 4256565588 | VANTAGE RADIOLOGY AND DIAGNOSTIC SERVICES, A PROFESSIONAL SERVICES COR |
| 4033 Talbot Rd S, 360 Medical Arts Ctr Outpatient, Renton, WA 98055-5709 | 4252515255 | VANTAGE RADIOLOGY AND DIAGNOSTIC SERVICES, A PROFESSIONAL SERVICES COR |
| 4174 Lind Ave Sw, Renton, WA 98057-4973 | 4252778346 | VANTAGE RADIOLOGY AND DIAGNOSTIC SERVICES, A PROFESSIONAL SERVICES COR |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | VANTAGE RADIOLOGY AND DIAGNOSTIC SERVICES, A PROFESSIONAL SERVICES COR |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane A Rassman | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 533 S 336th St, Suite C, Federal Way, WA 98003-6329 |
| Janet J Silbergeld | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 1041 116th Neave, Bellevue, WA 98004-4604 |
| Jacob A Thomas | Interventional Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Samuel Chao | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Jason K Mann | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Steven E Scallon | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Keith Ted Chan | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Hong T Nguyen | Physician Assistant | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| John S Bowen | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Susan M Balich | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Street Address |
202 N DIVISION ST PLAZA ONE AUBURN REG MED CTR |
| City | AUBURN |
| State | WA |
| Zip | 98001-4939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nagavedu D Raghunath | Psychiatry | 202 N Division St Plaza One, Auburn Regional Medical Center, Auburn, WA 98001-4939 | |
| Bruce R Gilbert | Nuclear Medicine | Washington Nuclear Medicine LLC | 202 N Division St Plaza One, Auburn Regional Medical Center, Auburn, WA 98001-4939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David H Poole | Chiropractic | 3820 S, 320th, Auburn, WA 98001-3115 | |
| Edwin S Chin | Nephrology | 121 N Division St, Suite 340, Auburn, WA 98001-4931 | |
| Mark Hsueh Tseng | General Surgery | 121 N Division St, Suite 310, Auburn, WA 98001-4931 | |
| Anthony S Stephens | Nurse Practitioner | Multicare Health System | 202 N Division St, Auburn, WA 98001-4939 |
| Anthony P Caruso | Urology | Surgical Associates Northwest PC | 202 Division St N, Suite 100, Auburn, WA 98001-4939 |
| Martin M.t. Lee | Critical Care (intensivists) | Multicare Health System | 202 N Division St, Auburn, WA 98001-4939 |
| Sidney N Beers | Emergency Medicine | Cascade Emergency Physicians Inc | 202 N Division St, Auburn, WA 98001-4939 |
| Tariq Salam | Cardiac Electrophysiology | Multicare Health System | 202 N Division St, Auburn, WA 98001-4939 |
| Richard S Mcmonigal | Emergency Medicine | Cascade Emergency Physicians Inc | 202 N Division St, Auburn, WA 98001-4939 |
| Albert C Morriss | Physician Assistant | Washington Gastroenterology Pllc | 202 N Division St, Auburn, WA 98001-4939 |
| Find all physicians in zip 98001 | |||
| City | AUBURN |
| Zip Code | 98001 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | AUBURN + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.