Evan Michael Leitz (NPI# 1013177344, PAC ID# 7911143003) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1013177344 |
| PAC ID by PECOS | 7911143003 |
| Professional Enrollment ID | I20140825000951 |
| Full Name | Evan Michael Leitz |
| Organization Legal Name | TRA-MINW, PS |
| Address |
1304 Fawcett Ave Suite 100 Tacoma WA 98402-1900 |
| Phone Number | 2537614200 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163316167 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
| 500079 | MULTICARE GOOD SAMARITAN HOSPITAL |
| 500154 | |
| 500108 | ST JOSEPH MEDICAL CENTER |
| 381319 | ST ANTHONY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2801 St Anthony Way, Pendleton, OR 97801-3800 | 5412765121 | TRA-MINW, PS |
| 222 15th Ave Se, Puyallup, WA 98372-3754 | 2538414353 | MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE |
| 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 | 2537614200 | TRA-MINW, PS |
| 2502 S Union Ave, Tacoma, WA 98405-1328 | 2537619482 | UNION AVENUE OPEN MRI LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | TRA-MINW, PS |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor Lee Reeves | Physician Assistant | Tra-minw, Ps | 3402 S 18th St, Tacoma, WA 98405-1903 |
| Andre Bautista | Diagnostic Radiology | Tra-minw, Ps | 1455 Battersby Ave, Enumclaw, WA 98022-3634 |
| Jana Lynn Fahmy | Diagnostic Radiology | Tra-minw, Ps | 2502 S Union Ave, Tacoma, WA 98405-1328 |
| Scott Randall Henneman | Diagnostic Radiology | Tra-minw, Ps | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Michael Jon Flamoe | Physician Assistant | Tra-minw, Ps | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Joshua Scott Meyer | Physician Assistant | Tra-minw, Ps | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| David Harold Rice | Diagnostic Radiology | Tra-minw, Ps | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Chuck D Martin | Diagnostic Radiology | Tra-minw, Ps | 34515 9th Ave S, Federal Way, WA 98003-6761 |
| Rachael Marie Edwards | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| John Paul Kim | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Street Address |
1304 FAWCETT AVE SUITE 100 |
| City | TACOMA |
| State | WA |
| Zip | 98402-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachael Marie Edwards | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| John Paul Kim | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Lawrence Dagang Tang | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Christopher Selby Green | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Charles Raymond Leusner | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Spencer Truman Lake | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Richard William Satre | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Andrew James Scarano | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Martha Ksepka | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Wojciech John Kapalczynski | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendra C Roberson | Clinical Social Worker | 9 Saint Helens Ave A, Tacoma, WA 98402 | |
| Mary Kristine Simonson | Psychiatry | 4041 Ruston Way, Suite 202, Tacoma, WA 98402-1338 | |
| Deborah J Mischo | Clinical Social Worker | 2367 Tacoma Ave S, Ofc 209, Tacoma, WA 98402-1409 | |
| Jill Marie Dobbins | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Nicholas David Krause | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Annie Ko | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Nils L Nankin | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Mark Aaron Broadbent | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Syrone Liu | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Jerome Taymon Domzalski | Diagnostic Radiology | Tra-minw, Ps | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900 |
| Find all physicians in zip 98402 | |||
| City | TACOMA |
| Zip Code | 98402 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | TACOMA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Evan Michael Leitz.
| 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.