Active NPI
Samuel J. Boynton, MD
- Diagnostic Radiology Physician
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD60681523
- Practice address
- 3417 Ensign Rd NE
Olympia, WA 98506 - Phone
- (360) 493-4600
- Fax
- (360) 493-4603
- NPI assigned
- May 7, 2007
- Last updated
- May 24, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301088520 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 0101256955 | VA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD60681523 | WA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 54901 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | MD60681523 | WA | Primary |
Addresses
Primary practice location
3417 Ensign Rd NE
Olympia, WA 98506
Mailing address
3417 Ensign Rd NE
Olympia, WA 98506-5064
Phone (360) 493-4600
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Loma Linda University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208
12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1800
18100 NE Union Hill Rd
Redmond, WA 98052-3330
Phone (425) 498-2030
21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200
3417 Ensign Rd NE
Olympia, WA 98506-5064
Phone (360) 493-4600
515 Minor Ave
Suite 110
Seattle, WA 98104-2145
Phone (206) 386-9699
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088520 | MI | MD | Diagnostic Radiology Physician |
| 0101256955 | VA | MD | Diagnostic Radiology Physician |
| MD60681523 | WA | MD | Diagnostic Radiology Physician |
| 54901 | MN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Radia Imaging Center at Edmonds LLC | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Central Washington Health Services Association | Current | Accepting new patients | |
| South Sound Radiologists Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Evergreen Radia LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Current | Accepting new patients |
Locations
1200 112th Ave NE
Ste B250
Bellevue, WA 98004
Phone (206) 386-6266
21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001
1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000
3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600
3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233
500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111
515 Minor Ave
Ste 110
Seattle, WA 98104
Phone (206) 292-6233
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174
4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914
1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
Organizations & group practices 11
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 Confluence Health
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
-
dba South Sound Radiology
- Diagnostic Radiology Physician
- Olympia, WA
- NPI 1902990500
-
dba Swedish Imaging Clinics
- Body Imaging Physician
- Everett, WA
- NPI 1114356904
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
dba Swedish Radia Edmonds
- Diagnostic Radiology Physician
- Edmonds, WA
- NPI 1164494373
-
dba Seattle Radiology
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1639653017
-
- Multi-Specialty Clinic/Center
- Wenatchee, WA
- NPI 1669719688
-
dba Confluence Health
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1881642239
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Confluence Health
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1306883228
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
Hospital
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
dba PeaceHealth SW Heart & Vascular Center
- Cardiovascular Disease Physician
- Vancouver, WA
- NPI 1003194911
Hospital
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1083827992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 ENSIGN RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065064",
"telephone_number": "360-493-4600",
"fax_number": "360-493-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 ENSIGN RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98506",
"telephone_number": "360-493-4600",
"fax_number": "360-493-4603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYNTON",
"first_name": "SAMUEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301088520",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101256955",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WA",
"license": "MD60681523",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MN",
"license": "54901",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60681523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.