Evan Michael Leitz
TRA-MINW, PS


Address: 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1900
Phone: 2537614200

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.

Physician Overview

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

Claims Based Hospital Affiliation

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

Other Locations

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

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_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 Information

Organization Legal Name TRA-MINW, PS
Physicians 106

Physicians with the same organization

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

Office Location

Street Address 1304 FAWCETT AVE
SUITE 100
City TACOMA
State WA
Zip 98402-1900

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

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City TACOMA
Zip Code 98402
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty TACOMA + 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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