Individual provider Active NPI

Paul Henry Eikens, M.D.

  • Vascular & Interventional Radiology Physician
  • Missoula, MT
National Provider Identifier
1194767418
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
9655 Issued in MT
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

Updated by the provider on Oct 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MD60709315WAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Lake Community Health Center CurrentSince Feb 2, 2017 Accepting new patients
Grant County Public Hospital District 2 CurrentSince Feb 2, 2017 Accepting new patients
Columbia County Hospital District CurrentSince Jun 30, 2021 Accepting new patients
The Polyclinic PLLC CurrentSince May 20, 2017 Accepting new patients
Advanced Imaging at Community Medical Center, LLC CurrentSince Apr 1, 2003 Accepting new patients
Inland Imaging LLC CurrentSince Nov 1, 2016 Accepting new patients
Integra Imaging, PS CurrentSince Nov 1, 2016 Accepting new patients
Moses Lake Community Health Center CurrentSince Feb 2, 2017 Accepting new patients
Integra Imaging, PS CurrentSince Feb 2, 2017 Accepting new patients
Columbia County Hospital District CurrentSince Jun 30, 2021 Accepting new patients
Inland Imaging Associates PS CurrentSince May 1, 2020 Accepting new patients
The Polyclinic PLLC CurrentSince May 20, 2017 Accepting new patients
Columbia County Hospital District Current Accepting new patients
Bozeman Diagnostics LLC CurrentSince Jul 1, 2023 Accepting new patients
Pueblo Medical Imaging, LLC PastSince Mar 29, 2020 Accepting new patients
J Paul Wiesner & Associates Chartered PastSince Nov 3, 2019 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.

View all 16

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

Verify at the official NPI Registry.