Active NPI
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
- Radiology Clinic/Center
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE
- Practice address
- 1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900 - Phone
- (253) 761-4200
- Fax
- (253) 581-5698
- NPI assigned
- Oct 4, 2007
- Last updated
- Sep 9, 2022
- 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
- Dr. Douglas P Seiler, M.D.
- Title
- President
- Phone
- (253) 761-4200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | NU | Primary |
Addresses
Primary practice location
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Mailing address
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, GA, AK, NY, MO, NJ, DC, NC, CA, FL, OR, CO, TX, AZ, NV, TN, MT, CT, MI, AL, UT, PA, IA, OK, SC, WI, MA, HI, MN
Enrollment records 29
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081126000315 | WA | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 150 practitioners 2 other NPIs on this enrollment Practice locations: Olympia, WA; Puyallup, WA; Renton, WA; Seattle, WA; Shoreline, WA; Spokane, WA; Tacoma, WA; University Place, WA… |
| O20220803002181 | GA | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 4 practitioners Practice locations: Atlanta, GA; Decatur, GA; Duluth, GA; Evans, GA |
| O20220906001036 | AK | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 3 practitioners Practice locations: Fort Wainwright, AK; North Pole, AK; Eagle River, AK |
| O20220916001158 | NY | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 14 practitioners Practice locations: New York, NY; Melville, NY; Manlius, NY; Liverpool, NY; Jamesville, NY; Fayetteville, NY; Cornwall, NY; Camillus, NY |
| O20220928000516 | MO | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 4 practitioners Practice locations: Saint Robert, MO; Waynesville, MO; Saint Louis, MO |
| O20221010000077 | NJ | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 4 practitioners Practice locations: Wayne, NJ; Lawrence Township, NJ; Jersey City, NJ; Hoboken, NJ |
| O20221012003353 | DC | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 4 practitioners Practice locations: Gaithersburg, MD; Herndon, VA; MC Lean, VA; Potomac, MD |
| O20221101000593 | NC | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 8 practitioners Practice locations: Boone, NC; Asheville, NC; Whispering Pines, NC; New Bern, NC; Fayetteville, NC; Charlotte, NC |
| O20221210000408 | CA | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 9 practitioners Practice locations: Sunnyvale, CA; Santa Barbara, CA; San Diego, CA; Palm Desert, CA; Newbury Park, CA; Mountain View, CA; Los Gatos, CA; La Jolla, CA… |
| O20221228000968 | FL | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 4 practitioners Practice locations: Delray Beach, FL; Gulf Breeze, FL; Naples, FL; Port Orange, FL |
| O20230112001647 | OR | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 5 practitioners Practice locations: Portland, OR; Manzanita, OR; Lake Oswego, OR; Corvallis, OR; Bend, OR |
| O20230228000861 | CO | Part B Supplier - Clinic/Group Practice | 3375603970 | Practice locations: Colorado Springs, CO |
| O20230228002505 | TX | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 7 practitioners Practice locations: Plano, TX; Temple, TX; San Antonio, TX; Prosper, TX; Houston, TX; Austin, TX |
| O20230929002847 | AZ | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 3 practitioners Practice locations: Glendale, AZ; Mesa, AZ; Peoria, AZ; Phoenix, AZ |
| O20231005001539 | NV | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Henderson, NV |
| O20231006001238 | TN | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 1 practitioner Practice locations: Clarksville, TN |
| O20231018002518 | MT | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 1 practitioner Practice locations: Whitefish, MT |
| O20231019003661 | CT | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 1 practitioner Practice locations: Darien, CT |
| O20231023000302 | MI | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 1 practitioner Practice locations: Royal Oak, MI |
| O20231023002010 | AL | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 1 practitioner Practice locations: Vestavia, AL |
| O20231025003620 | UT | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 2 practitioners Practice locations: Eden, UT; Huntsville, UT; Holladay, UT |
| O20240703002813 | PA | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 4 practitioners Practice locations: Chesterbrook, PA; Gladwyne, PA; Harrisburg, PA; Media, PA |
| O20240801003617 | IA | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 1 practitioner Practice locations: Pella, IA |
| O20241216001109 | OK | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 4 practitioners Practice locations: Oklahoma City, OK; Broken Arrow, OK; Tulsa, OK; Ramona, OK |
| O20250903002229 | SC | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 1 practitioner Practice locations: Anderson, SC |
| O20251021002068 | WI | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 1 practitioner Practice locations: Milwaukee, WI |
| O20260213001131 | MA | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 1 practitioner Practice locations: Dartmouth, MA |
| O20260223003402 | HI | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 2 practitioners Practice locations: Kihei, HI |
| O20260304003628 | MN | Part B Supplier - Clinic/Group Practice | 3375603970 |
Receives reassigned benefits from 1 practitioner Practice locations: Chaska, MN |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Radiology Clinic/Center
- Puyallup, WA
- NPI 1336419514
O20081126000315, O20231005001539
-
- Radiology Clinic/Center
- Bonney Lake, WA
- NPI 1699063354
O20081126000315
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Franciscan Psychology-Neuropsychology Services @ St Clare
- Psychologist
- Lakewood, WA
- NPI 1093952145
Member Of
-
dba Mary Bridge Pediatric Psychology Services
- Prescribing (Medical) Psychologist
- Tacoma, WA
- NPI 1104045988
Member Of
Locations
11212 Sunrise Blvd E
Ste 200
Puyallup, WA 98374
Practitioners & affiliated clinicians
Practitioners 224
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1518076280
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1558922047
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1841658598
-
- Vascular & Interventional Radiology Physician
- Tacoma, WA
- NPI 1467681957
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1477866739
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1932112331
-
- Vascular & Interventional Radiology Physician
- Tacoma, WA
- NPI 1164665444
-
- Vascular & Interventional Radiology Physician
- Tacoma, WA
- NPI 1164595286
-
- Vascular & Interventional Radiology Physician
- Tacoma, WA
- NPI 1063918761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662681600000",
"number": "1083802946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 FAWCETT AVE STE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984021900",
"telephone_number": "253-761-4200",
"fax_number": "253-845-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 FAWCETT AVE STE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984021900",
"telephone_number": "253-761-4200",
"fax_number": "253-581-5698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-04",
"last_updated": "2022-09-09",
"certification_date": "2020-09-11",
"status": "A",
"authorized_official_last_name": "SEILER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "253-761-4200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
- Jennifer Marie Mecca, PHARM.D.
- Ruben Jordan Mechell, DPM
- Michele Meconi-Packard, ARNP
- Med-Men LLC (Sound-N-Snore)
- Kimberly Jean Medchill
- Medical Rentals LLC
- Medicinal Alternative Solutions, LLC (MAS Care Medical Center of Tacoma)
- Luis Medina, SUDPT
- Patricia Ann Medina, ARNP
- Justin Michael Medlock, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.