Active NPI
Robert O Nathan, MD
- Diagnostic Radiology Physician
- Federal Way, WA
National Provider Identifier
1083606511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00019860
- Practice address
- 181 S 333Rd St
Suite 210
Federal Way, WA 98003-7363 - Phone
- (253) 661-1700
- Fax
- (253) 661-4565
- NPI assigned
- Aug 19, 2005
- Last updated
- Nov 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD00019860 | WA | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | MD00019860 | WA |
Addresses
Primary practice location
181 S 333Rd St
Suite 210
Federal Way, WA 98003-7363
Mailing address
PO Box 26730
Federal Way, WA 98093-3730
Phone (253) 661-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00019860 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Partners at Valley LLC | Diagnostic Radiology | Past | Accepting new patients |
| Vantage Radiology & Diagnostic Services, a Professional Services Corp | Diagnostic Radiology | Past | Accepting new patients |
| Auburn Imaging Partners LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Auburn Diagnostic Imaging Services Merritt Building
- Diagnostic Radiology Physician
- Auburn, WA
- NPI 1477534246
-
dba Valley Diagnostic Imaging Services Olympic Building
- Diagnostic Radiology Physician
- Renton, WA
- NPI 1215918081
-
- Diagnostic Radiology Physician
- Renton, WA
- NPI 1245230598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1083606511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26730",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980933730",
"telephone_number": "253-661-1700",
"fax_number": "253-661-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 S 333RD ST",
"address_2": "SUITE 210",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037363",
"telephone_number": "253-661-1700",
"fax_number": "253-661-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "ROBERT",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00019860",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "WA",
"license": "MD00019860",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.