Organization Active NPI

Seattle Radiologists a Professional Corporation

  • Diagnostic Radiology Physician
  • Seattle, WA
National Provider Identifier
1063455897
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SEATTLE RADIOLOGISTS A PROFESSIONAL CORPORATION
Practice address
1229 Madison Street
Suite 900
Seattle, WA 98104-1391
Phone
(206) 292-6233
Fax
(206) 292-7764
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Karen Leppert
Title
Ceo
Phone
(206) 292-6233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1229 Madison Street
Suite 900
Seattle, WA 98104-1391

Mailing address

1229 Madison Street
Suite 900
Seattle, WA 98104-1391
Phone (206) 292-6233

Other identifiers 1

IdentifierTypeStateIssuer
7802606MedicaidWA

National Provider Directory

National Provider Directory

Locations

1229 Madison St
Ste 615
Seattle, WA 98104
Phone (206) 292-6233

749 Broadway
Seattle, WA 98122
Phone (206) 292-6233

515 Minor Ave
Ste 110
Seattle, WA 98104
Phone (206) 292-6233

600 Broadway
Ste 170
Seattle, WA 98122
Phone (206) 302-2600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1063455897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MADISON STREET",
            "address_2": "SUITE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041391",
            "telephone_number": "206-292-6233",
            "fax_number": "206-292-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON STREET",
            "address_2": "SUITE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041391",
            "telephone_number": "206-292-6233",
            "fax_number": "206-292-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE RADIOLOGISTS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "LEPPERT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-292-6233"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802606",
            "state": "WA"
        }
    ],
    "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 Sep 27, 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.

Verify at the official NPI Registry.