Active NPI
Paul Henry Eikens, M.D.
- Vascular & Interventional Radiology Physician
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 9655
- Practice address
- 3205 S Russell St
Missoula, MT 59801-8536 - Phone
- (406) 721-4908
- NPI assigned
- Jun 12, 2006
- 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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | MD60709315 | WA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 9655 | MT | Primary |
Addresses
Primary practice location
3205 S Russell St
Missoula, MT 59801-8536
Mailing address
801 S Stevens St
Spokane, WA 99204-2654
Phone (509) 747-4455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101020000125 | MT | Practitioner - Diagnostic Radiology | 7618992595 | Reassigns benefits to 4 organizations |
| I20170224002011 | WA | Practitioner - Diagnostic Radiology | 7618992595 | Reassigns benefits to 7 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60709315 | WA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Lake Community Health Center | Current | Accepting new patients | |
| Grant County Public Hospital District 2 | Current | Accepting new patients | |
| Columbia County Hospital District | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Advanced Imaging at Community Medical Center, LLC | Current | Accepting new patients | |
| Inland Imaging LLC | Current | Accepting new patients | |
| Integra Imaging, PS | Current | Accepting new patients | |
| Moses Lake Community Health Center | Current | Accepting new patients | |
| Integra Imaging, PS | Current | Accepting new patients | |
| Columbia County Hospital District | Current | Accepting new patients | |
| Inland Imaging Associates PS | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Columbia County Hospital District | Current | Accepting new patients | |
| Bozeman Diagnostics LLC | Current | Accepting new patients | |
| Pueblo Medical Imaging, LLC | Past | Accepting new patients | |
| J Paul Wiesner & Associates Chartered | Past | Accepting new patients |
Locations
2803 South Ave W
Missoula, MT 59804
Phone (406) 327-3950
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512
2740 South Ave W
Missoula, MT 59804
Phone (406) 728-6010
500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154
1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531
411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753
605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674
908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503
601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700
1145 Broadway
Seattle, WA 98122
1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101
1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397
801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316
Organizations & group practices 16
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.
-
- Radiology Clinic/Center
- Missoula, MT
- NPI 1164437943
MT
-
- Emergency Medical Services (Emergency Medicine) Physician
- Quincy, WA
- NPI 1659445468
WA
-
- Federally Qualified Health Center (FQHC)
- Moses Lake, WA
- NPI 1699862813
WA
-
- Radiology Clinic/Center
- Bozeman, MT
- NPI 1659855443
-
- Skilled Nursing Facility
- Dayton, WA
- NPI 1659458610
-
- Primary Care Clinic/Center
- College Place, WA
- NPI 1851050264
-
- Diagnostic Radiology Physician
- Spokane, WA
- NPI 1174876437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1194767418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S STEVENS ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042654",
"telephone_number": "509-747-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 S RUSSELL ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598018536",
"telephone_number": "406-721-4908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIKENS",
"first_name": "PAUL",
"middle_name": "HENRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WA",
"license": "MD60709315",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MT",
"license": "9655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.