Eleanor V L Djang, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD00042732 Issued in WA

Practice address

1229 Madison Street
Suite 1150
Seattle, WA 98104-3587

Phone

(206) 386-6300

Fax

(206) 386-6300

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

University of Texas Southwestern Medical School at Dallas, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pet-CT Imaging at Swedish Cancer Institute LLCGroup PAC ID 5092736884, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pet-CT Imaging at Swedish Cancer Institute LLC

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1013920644
  Medicare reassignment Care Compare group NPD
• Obstetrix Medical Group of Washington Inc PS

  • Maternal & Fetal Medicine Physician
  • Seattle, WA
  • NPI 1861599573
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083793988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MADISON STREET",
            "address_2": "SUITE 1150",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043587",
            "telephone_number": "206-386-6300",
            "fax_number": "206-386-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON STREET",
            "address_2": "SUITE 1150",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043587",
            "telephone_number": "206-386-6300",
            "fax_number": "206-386-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJANG",
        "first_name": "ELEANOR",
        "middle_name": "V L",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00042732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8361586",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0173441",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerlin Jermae Dizon, PHARMD
• Lloidd Lorrainne App Duque Dizon, DPT
• Pia Angelica Dizon, PHARMD
• Richard A Dizon, LMP
• David SW Djang, MD
• Sylvie G Djoumessi, PMHNP-BC
• Allyson Stewart Dkeidek, DDS
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC

• Diagnostic Radiology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.