Northwest Radiologists Inc PS
Organization Active NPI Diagnostic Radiology Physician · Bellingham, WA
NPI 1013907955 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1013907955
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 600013922 (WA)
- Legal business name
- NORTHWEST RADIOLOGISTS INC PS
- Practice address
- 2901 Squalicum Pkwy
Bellingham, WA 98225-1851 - Phone
- (360) 734-5400
- NPI assigned
- Oct 23, 2005
- Organization subpart
- No
Authorized official
- Name
- Stacy Millar
- Title
- Director, Revenue Cycle
- Phone
- (360) 788-9004
Subparts reporting this organization as parent 1
Member organizations 1
Practitioners 56
-
Sarah Anderson, MD
-
Charles Ariz, MD
-
Laura Backer, MD
-
Peter Buetow, MD
-
David Cahalan, MD
-
Lars Crabo, MD
-
Robert Hughes, MD
-
Dag Jensen, MD
-
Erika Lynn Myers, ARNP
-
Gita R Rabbani, MD
-
Jason Stoane, MD
-
Matthew Studley, MD
-
Stephen John Buetow, M.D.
-
Asra Khan, MD
-
Nancy A Danke, PAC
-
Anna R. Hardesty, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040303001109 | WA | Part B Supplier - Clinic/Group Practice | 1456248368 |
Receives reassigned benefits from 30 practitioners Practice locations: Lynden, WA; Friday Harbor, WA; Sedro Woolley, WA; Bellingham, WA |
| O20240122003333 | AK | Part B Supplier - Clinic/Group Practice | 1456248368 |
Receives reassigned benefits from 22 practitioners Practice locations: Ketchikan, AK |
National Provider Directory
Locations
4029 Northwest Ave
Ste 202
Bellingham, WA 98226
2980 Squalicum Pkwy
Ste 219
Bellingham, WA 98225
2930 Squalicum Pkwy
Ste B10
Bellingham, WA 98225
4029 Northwest Ave
Ste 301B
Bellingham, WA 98226
8844 Benson Rd
Lynden, WA 98264
Phone (360) 318-0260
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | 600013922 | WA | Yes |
Addresses
Primary practice location
2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Mailing address
PO Box 3921
Seattle, WA 98124-3921
Phone (360) 733-0430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7824808 | Medicaid | WA |
Other providers in Bellingham, WA
- Northwest Life Medicine Clinic
- Northwest Neurology Carolyn L. Taylor, M.D. PS
- Northwest Pathology PLLC
- Northwest Pathology PLLC
- Northwest Pathology PLLC
- Northwest Radiologists Inc., P.S.
- Northwest Regional Council
- Northwest Regional Council
- Northwest Spine and Disc Center Inc.
- Northwest Surgical Asociates
All providers in Bellingham, WA · Diagnostic Radiology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.