NPIMap

Organization Active NPI

Whidbey Island Public Hospital District

  • Diagnostic Radiology Physician
  • Bellevue, WA
National Provider Identifier
1336760586
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
Practice address
1526 139TH CT NE
Bellevue, WA 98005-4257
Phone
(360) 678-5151
NPI assigned
Apr 29, 2020
Organization subpart
Yes
Parent organization
WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Garth Miller, MD
Title
Coo
Phone
(360) 678-7656

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X

Addresses

Primary practice location

1526 139TH CT NE
Bellevue, WA 98005-4257

Mailing address

PO Box 3603
Seattle, WA 98124-3603
Phone (360) 678-7656

Other practice location 1

7167 NE 126th St
Kirkland, WA 98034-5717
Phone (360) 678-5151

Other practice location 2

827 97th Ave SE
Bellevue, WA 98004-6752
Phone (360) 678-5151

Other practice location 3

1301 91st Ave NE
Clyde Hill, WA 98004-3327
Phone (360) 678-5151

Other practice location 4

19211 Richmond Beach Dr NW
Shoreline, WA 98177-2943
Phone (360) 678-5151

Other practice location 5

1936 4th Ave W
Seattle, WA 98119-2611
Phone (360) 678-5151

Other practice location 6

3215 NW 57th St
Seattle, WA 98107-3328
Phone (606) 785-1513

Other practice location 7

602 Terry Ave N
Seattle, WA 98109-5196
Phone (360) 678-5151

Other practice location 8

941 Broadway E
Seattle, WA 98102-4528
Phone (360) 678-5151

Other practice location 9

22809 SE 268th Pl
Maple Valley, WA 98038-6878
Phone (360) 678-5151

Other practice location 10

906 N 96th St
Seattle, WA 98103-3288
Phone (360) 678-5151

Other practice location 11

10128 NE 66th Ln
Kirkland, WA 98033-6869
Phone (360) 678-5151

Other names 1

  • WhidbeyHealth - Teleradiology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040210000761 WA Part B Supplier - Clinic/Group Practice 1658280680 Receives reassigned benefits from 136 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
North Whidbey Comm Clin38 organizations share this tax ID, including this one
Part of
North Whidbey Comm Clin

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1336760586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3603",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243603",
            "telephone_number": "360-678-7656",
            "fax_number": "360-678-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 139TH CT NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054257",
            "telephone_number": "360-678-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7167 NE 126th St",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980345717",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "827 97th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980046752",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 91st Ave NE",
            "address_purpose": "LOCATION",
            "city": "Clyde Hill",
            "state": "WA",
            "postal_code": "980043327",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19211 Richmond Beach Dr NW",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981772943",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1936 4th Ave W",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981192611",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3215 NW 57th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981073328",
            "country_code": "US",
            "telephone_number": "606-785-1513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Terry Ave N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981095196",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "941 Broadway E",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981024528",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22809 SE 268th Pl",
            "address_purpose": "LOCATION",
            "city": "Maple Valley",
            "state": "WA",
            "postal_code": "980386878",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "906 N 96th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981033288",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10128 NE 66th Ln",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980336869",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GARTH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "360-678-7656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WhidbeyHealth - Teleradiology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WhidbeyHealth - Teleradiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.