Active NPI
Sara Eller, ARRT(R)(M)(CT)
- Body Imaging Physician
- Pearl Harbor, HI
National Provider Identifier
1134726979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- 389692
- Practice address
- Building 6905 MCBH
Pearl Harbor, HI 96734 - Phone
- (808) 257-3365
- NPI assigned
- Oct 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 389692 | WA | Primary |
Addresses
Primary practice location
Building 6905 MCBH
Pearl Harbor, HI 96734
Mailing address
8326 Silverdale Way NW # B
Silverdale, WA 98383-8506
Phone (931) 200-4971
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 389692 | WA | MD | Body Imaging Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1134726979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8326 SILVERDALE WAY NW # B",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838506",
"telephone_number": "931-200-4971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BUILDING 6905 MCBH",
"city": "PEARL HARBOR",
"state": "HI",
"postal_code": "96734",
"telephone_number": "808-257-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLER",
"first_name": "SARA",
"credential": "ARRT(R)(M)(CT)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-05",
"last_updated": "2020-10-05",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "WA",
"license": "389692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearl Harbor, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.