Active NPI
Sarah Bastawrous, DO
- Diagnostic Radiology Physician
- Seattle, WA
National Provider Identifier
1003042607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OP60104166
- Practice address
- 1660 S Columbian Way
Diagnostic Imaging, S-Rad-114
Seattle, WA 98108-1532 - Phone
- (312) 450-5258
- NPI assigned
- Jun 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | N2802 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | 036116267 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | OP60104166 | WA | Primary |
Addresses
Primary practice location
1660 S Columbian Way
Diagnostic Imaging, S-Rad-114
Seattle, WA 98108-1532
Mailing address
1660 S Columbian Way
Diagnostic Imaging, S-Rad-114
Seattle, WA 98108-1532
Phone (312) 450-5258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036116267 | IL | MD | Diagnostic Radiology Physician |
| N2802 | TX | MD | Diagnostic Radiology Physician |
| OP60104166 | WA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1003042607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY",
"address_2": "DIAGNOSTIC IMAGING, S-RAD-114",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081532",
"telephone_number": "312-450-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY",
"address_2": "DIAGNOSTIC IMAGING, S-RAD-114",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081532",
"telephone_number": "312-450-5258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTAWROUS",
"first_name": "SARAH",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-09",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "N2802",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036116267",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "OP60104166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.