Active NPI
Skagit Valley Ultrasound Associates
- Diagnostic Radiology Physician
- Mount Vernon, WA
National Provider Identifier
1073621660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SKAGIT VALLEY ULTRASOUND ASSOCIATES
- Practice address
- 1320 E Division
Mount Vernon, WA 98274-4196 - Phone
- (360) 424-6161
- Fax
- (360) 848-1167
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen S Dec, MD
- Title
- Partner
- Phone
- (360) 424-6161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1320 E Division
Mount Vernon, WA 98274-4196
Mailing address
1320 E Division
Mount Vernon, WA 98274-4196
Phone (360) 424-6161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7099542 | Medicaid | WA | |
| 67103 | Other | WA | L&I |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Mount Vernon, WA
- NPI 1417924242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202256000000",
"number": "1073621660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 E DIVISION",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744196",
"telephone_number": "360-424-6161",
"fax_number": "360-848-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 E DIVISION",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744196",
"telephone_number": "360-424-6161",
"fax_number": "360-848-1167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKAGIT VALLEY ULTRASOUND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2008-02-06",
"status": "A",
"authorized_official_last_name": "DEC",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "360-424-6161",
"authorized_official_credential": "MD"
},
"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": "7099542",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "67103",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.