Active NPI
Sam S Liu, M.D.
- Diagnostic Radiology Physician
- Tacoma, WA
National Provider Identifier
1164435863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00045852
- Practice address
- 1304 Fawcett Avenue
Suite 200
Tacoma, WA 98402-1911 - Phone
- (253) 761-4200
- Fax
- (253) 383-3553
- NPI assigned
- Aug 14, 2006
- Last updated
- Jan 26, 2010
- 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 |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | MD00045852 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | MD00045852 | WA | Primary |
Addresses
Primary practice location
1304 Fawcett Avenue
Suite 200
Tacoma, WA 98402-1911
Mailing address
PO Box 1535
Tacoma, WA 98401-1535
Phone (253) 761-4200
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 |
|---|---|---|---|
| MD00045852 | WA | MD | Nuclear Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Social | Past | Accepting new patients | |
| Tra-Minw P S | Past | Accepting new patients | |
| Mercer Island Medical Imaging, LLC | Past | Accepting new patients | |
| Tacoma Magnetic Imaging LP | Past | Accepting new patients | |
| Medical Imaging on 1St, LLC | Past | Accepting new patients | |
| Tra-Minw P S | Past | Accepting new patients | |
| Radiology Services, P.C. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Radiology Clinic/Center
- Federal Way, WA
- NPI 1376778381
-
- Clinic/Center
- Mercer Island, WA
- NPI 1326373713
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1376612069
-
- Radiology Clinic/Center
- Federal Way, WA
- NPI 1184790032
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1396814166
-
- Diagnostic Radiology Physician
- North Platte, NE
- NPI 1851476436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1164435863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1535",
"city": "TACOMA",
"state": "WA",
"postal_code": "984011535",
"telephone_number": "253-761-4200",
"fax_number": "253-383-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 FAWCETT AVENUE",
"address_2": "SUITE 200",
"city": "TACOMA",
"state": "WA",
"postal_code": "984021911",
"telephone_number": "253-761-4200",
"fax_number": "253-383-3553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "SAM",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "WA",
"license": "MD00045852",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00045852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.