Individual provider Active NPI

Isaac Salmeron, (R)(RT)(CT)(ARRT)

  • Diagnostic Radiology Physician
  • Friday Harbor, WA
National Provider Identifier
1245940212
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1002794 Issued in WA
Practice address
222 Trumpeter Way
Friday Harbor, WA 98250-7207
Phone
(915) 328-1162
NPI assigned
Dec 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1002794 WA Primary

Addresses

Primary practice location

222 Trumpeter Way
Friday Harbor, WA 98250-7207

Mailing address

222 Trumpeter Way
Friday Harbor, WA 98250-7207
Phone (915) 328-1162

Other identifiers 1

IdentifierTypeStateIssuer
UDWW740495692OtherWAREGENCE UMP

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

LicenseStateTypeSpecialty
1002794WAMDDiagnostic Radiology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1245940212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 TRUMPETER WAY",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507207",
            "telephone_number": "915-328-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 TRUMPETER WAY",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507207",
            "telephone_number": "915-328-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMERON",
        "first_name": "ISAAC",
        "credential": "(R)(RT)(CT)(ARRT)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "1002794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE UMP",
            "identifier": "UDWW740495692",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friday Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.