Nuclear Medicine Services

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

Legal business name

NUCLEAR MEDICINE SERVICES

Practice address

520 N 4TH Ave
Pasco, WA 99301-5257

Phone

(509) 546-2318

Fax

(509) 546-2317

NPI assigned

Sep 1, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Elena E Icayan, MD SC D

Title

Owner/Physician

Phone

(509) 627-0953

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1336133644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 COUNTRY RIDGE DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993527763",
            "telephone_number": "509-627-0953",
            "fax_number": "509-627-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-546-2318",
            "fax_number": "509-546-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCLEAR MEDICINE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ICAYAN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "509-627-0953",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD SC D"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1409408",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7056005",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0025988",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nuclear Medicine Physician in Pasco, WA
• Providers in Pasco, WA by specialty
• Nuclear Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.