Sutter Gould Medical Foundation

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SUTTER GOULD MEDICAL FOUNDATION

Practice address

3846 Cascadia Ave S
Seattle, WA 98118-1129

Phone

(209) 521-6097

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Steven A Mitnick, MD

Title

Medical Director

Phone

(209) 521-6097

Specialties & licenses 1

Addresses

Other names 1

• Radiology Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Ward Davis, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1124002217
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1316993611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554201",
            "telephone_number": "209-521-6097",
            "fax_number": "209-521-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3846 CASCADIA AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181129",
            "telephone_number": "209-521-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER GOULD MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "MITNICK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "209-521-6097",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven G Sutlief, PH.D.
• Eleanor Yuhuan Sutphen
• Lucy R Sutphen, MD
• Margaret Z Sutro, MA LMHC
• Lenda Jo Sutten-Dicola, M.S.W.
• Edward George Sutter Sr., DDS
• Michael Sutters, M.D.
• Alexandra N Suttner, OTR/L
• Alan J Sutton, DDS
• Eliza Leeds Sutton

• Diagnostic Radiology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.