Organization Active NPI

Skagit Valley Ultrasound Associates

  • Diagnostic Radiology Physician
  • Mount Vernon, WA
National Provider Identifier
1073621660
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Feb 6, 2008

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7099542MedicaidWA
67103OtherWAL&I

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.

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.

Verify at the official NPI Registry.