NPIMap

Organization Active NPI

Belladonna Breast Imaging Center PLLC

  • Diagnostic Radiology Physician
  • Bellevue, WA
National Provider Identifier
1033446802
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00021389 Issued in WA
Legal business name
BELLADONNA BREAST IMAGING CENTER PLLC
Practice address
1810 116TH Ave NE
Ste 101
Bellevue, WA 98004-3058
Phone
(888) 846-5527
Fax
(607) 324-7615
NPI assigned
Nov 15, 2009
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marita B Acheson, MDNPI 1528087582
Title
Member
Phone
(888) 846-5527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MD00021389 WA Primary
Mammography Clinic/Center 261QR0206X MD00021389 WA

Addresses

Primary practice location

1810 116TH Ave NE
Ste 101
Bellevue, WA 98004-3058

Mailing address

PO Box 84064
Seattle, WA 98124-8464
Phone (888) 846-5527

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1033446802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84064",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981248464",
            "telephone_number": "888-846-5527",
            "fax_number": "607-324-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 116TH AVE NE",
            "address_2": "STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043058",
            "telephone_number": "888-846-5527",
            "fax_number": "607-324-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLADONNA BREAST IMAGING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-15",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "ACHESON",
        "authorized_official_first_name": "MARITA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "888-846-5527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00021389",
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "WA",
            "license": "MD00021389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.