Kirk V Myers
EVERGREEN RADIA LLC


Address: 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Phone: 4259526100

Kirk V Myers (NPI# 1093931602, PAC ID# 7315027067) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1093931602
PAC ID by PECOS 7315027067
Professional Enrollment ID I20110908002330
Full Name Kirk V Myers
Organization Legal Name EVERGREEN RADIA LLC
Address 11521 Ne 128th St
Suite 200
Kirkland
WA 98034-4317
Phone Number 4259526100
Gender M
Graduation Year 2005
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialties INTERVENTIONAL RADIOLOGY
Group Practice PAC ID 4587568076
Number of Group Practice Members 107
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500014 PROVIDENCE REGIONAL MEDICAL CENTER EVERETT
500050 PEACEHEALTH SOUTHWEST MEDICAL CENTER
500124 EVERGREEN HOSPITAL MEDICAL CENTER
500024 PROVIDENCE ST PETER HOSPITAL
500044 DEACONESS MEDICAL CENTER

Other Locations

Address Phone Organization
908 S Scheuber Rd, Centralia, WA 98531-9027 3603308507 RADIA INC PS
908 S Scheuber Rd, A, Centralia, WA 98531-9027 3603308880 RADIA INC PS
914 S Scheuber Rd, Centralia, WA 98531-9027 3607362803 RADIA INC PS
101 N Main St, Coupeville, WA 98239-3413 3606787607 RADIA INC PS
21601 76th Ave W, Edmonds, WA 98026-7507 4256404250 RADIA INC PS
21700 Hwy 99, Edmonds, WA 98026-8034 4252976200 SWEDISH RADIA IMAGING CENTER AT EDMONDS LLC
12800 Bothell Everett Hwy, Everett, WA 98208-6642 4253179220 RADIA INC PS
1321 Colby Ave, Everett, WA 98201-1665 4252614100 RADIA INC PS
1330 Rockefeller Ave, Suite 210, Everett, WA 98201-1676 4252614940 RADIA INC PS
916 Pacific Ave, Everett, WA 98201-4147 4252587695 RADIA INC PS
751 Ne Blakely Dr, Issaquah, WA 98029-6201 4253135400 RADIA INC PS
751 Ne Blakely Dr, Suite 3020, Issaquah, WA 98029-6201 4253137000 RADIA INC PS
11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317 4259526100 EVERGREEN RADIA LLC
12040 Ne 128th St, Kirkland, WA 98034-3013 4258991800 RADIA INC PS
2555 Marvin Rd Ne, Lacey, WA 98516-3138 3609234600 RADIA INC PS
4800 College St Se, Lacey, WA 98503-4389 3604802960 RADIA INC PS
11948 Preswick Ln, Mukilteo, WA 98275-5026 4255631516 RADIA INC PS
3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 3607545858 RADIA INC PS
3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 3604918439 RADIA INC PS
413 Lilly Rd Ne, Olympia, WA 98506-5133 3604919480 RADIA INC PS
810 Jasmine St, Omak, WA 98841-9578 5098261760 OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3
939 Caroline St, Port Angeles, WA 98362-3909 3604177441 RADIA INC PS
8980 161st Ave Ne, Redmond, WA 98052-7554 4258954810 EVERGREEN RADIA LLC
500 17th Ave, Seattle, WA 98122-5711 2063203700 RADIA INC PS
700 Minor Ave, Seattle, WA 98104-2146 4255631516 RADIA INC PS
808 N 5th Ave, Sequim, WA 98382-3045 3605825562 RADIA INC PS
9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 4258312313 PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON
400 E 5th Ave, Spokane, WA 99202-1334 5098382531 RADIA INC PS
820 N Chelan Ave, Wenatchee, WA 98801-2028 5096638711 WENATCHEE VALLEY HOSPITAL

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100%
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 96%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 96%

Organization Information

Organization Legal Name EVERGREEN RADIA LLC
Physicians 30

Physicians with the same organization

Name Specialty Organization Address
Mahesh G Atluri Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Amar Y Purandare Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Andrew J Harrison Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Marc G Koenig Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Mark Donald Mayhle Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Sheilah Michelle Curran-melendez Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Patrick Russell Cox Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Diane E Engelbrecht Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Maria Chong Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Felix Thomas Nautsch Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317

Office Location

Street Address 11521 NE 128TH ST
SUITE 200
City KIRKLAND
State WA
Zip 98034-4317

Physicians in the same location

Name Specialty Organization Address
Mahesh G Atluri Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Amar Y Purandare Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Andrew J Harrison Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Marissa Black Geriatric Medicine King County Public Hospital District No 2 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317
Marc G Koenig Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Imelda C Cheng Nurse Practitioner King County Public Hospital District No 2 11521 Ne 128th St, Kirkland, WA 98034-4317
Mark Donald Mayhle Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Dawn Marie Hastreiter Diagnostic Radiology Swedish Health Services 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Sheilah Michelle Curran-melendez Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
Patrick Russell Cox Diagnostic Radiology Evergreen Radia LLC 11521 Ne 128th St, Suite 200, Kirkland, WA 98034-4317
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Physicians in the same zip code

Name Specialty Organization Address
Austin Edward Lubereski Chiropractic Ryan Coogan Dc Ps 11902 97th Ave Ne, Kirkland, WA 98034-1882
Ryan Sean Coogan Chiropractic Ryan Coogan Dc Ps 11902 97th Ave Ne, Kirkland, WA 98034-1882
Richard A Wyckoff Clinical Psychologist 13606 Ne 20th St, Suite 205, Bellevue, WA 98034-2011
Olena Sergiyivna Fox Nurse Practitioner Bhc Fairfax Hospital Inc 10200 Ne 132nd St, Kirkland, WA 98034-2831
Sid H Siahpush Psychiatry Bhc Fairfax Hospital Inc 10200 Ne 132nd St, Kirkland, WA 98034-2831
Zhendong J Ma Psychiatry Bhc Fairfax Hospital Inc 10200 Ne 132nd St, Kirkland, WA 98034-2831
Amy O Zachara Nurse Practitioner Bhc Fairfax Hospital Inc 10200 Ne 132nd St, Kirkland, WA 98034-2831
Olga G Abramova Nurse Practitioner Bhc Fairfax Hospital Inc 10200 Ne 132nd St, Kirkland, WA 98034-2831
Syed Kamal Mustafa Psychiatry Bhc Fairfax Hospital Inc 10200 Ne 132nd St, Kirkland, WA 98034-2831
Garth Edward Terry Psychiatry Bhc Fairfax Hospital Inc 10200 Ne 132nd St, Kirkland, WA 98034-2831
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Competitor

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City KIRKLAND
Zip Code 98034
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty KIRKLAND + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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