NPIMap

Individual provider Active NPI

Eric J Lindstrom, M.D.

  • Diagnostic Radiology Physician
  • Yakima, WA
National Provider Identifier
1396794350
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD 60551281 Issued in WA
Practice address
315 Holton Ave
Suite 102
Yakima, WA 98902-3254
Phone
(509) 248-6633
Fax
(509) 248-0178
NPI assigned
May 8, 2006
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X BL9407001 WA
Diagnostic Radiology Physician 2085R0202X MD 60551281 WA Primary
Diagnostic Radiology Physician 2085R0202X 057533 GA

Addresses

Primary practice location

315 Holton Ave
Suite 102
Yakima, WA 98902-3254

Mailing address

PO Box 2925
Yakima, WA 98907-2925
Phone (509) 248-6633

Other practice location 1

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Other identifiers 2

IdentifierTypeStateIssuer
748617841MedicaidGA
2044744MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150727001418 WA Practitioner - Diagnostic Radiology 1153364286 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
Tra-Minw P SGroup PAC ID 2163316167, 152 clinicians
Union Avenue Open MRI LLCGroup PAC ID 5597652917, 44 clinicians

Practice addresses (Care Compare)

1515 W Yakima Ave
Yakima, WA 98902-2950
Phone (509) 574-3863

2109 S 88TH Ave
Yakima, WA 98903-9665
Phone (253) 761-4200

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BL9407001WAMDDiagnostic Radiology Physician
MD 60551281WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Dec 1, 2024 Accepting new patients
Multicare Health System Diagnostic Radiology CurrentSince Jun 5, 2024 Accepting new patients
Multicare Health System CurrentSince Jun 5, 2024 Accepting new patients
Tra-Minw P S CurrentSince Dec 7, 2024 Accepting new patients
Tra Medical Imaging Centers LLC CurrentSince Dec 1, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Union Avenue Open MRI LLC CurrentSince Nov 1, 2024 Accepting new patients
Virginia Mason Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Virginia Mason Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Valley Imaging Past Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance Past Accepting new patients

Locations

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391

5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

4700 Point Fosdick Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 759-2622

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

500 Lilly Rd NE
Ste 160
Olympia, WA 98506
Phone (360) 413-8307

11212 Sunrise Blvd E
Ste 200
Puyallup, WA 98374

222 15th Ave SE
Puyallup, WA 98372

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372

2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900

3402 S 18th St
Tacoma, WA 98405
Phone (253) 383-1099

5919 100th St SW
Tacoma, WA 98499

Interoperability endpoints

  • Direct secure messaging: elindstrom772703@direct.multicare.org
  • FHIR API: https://app.meldrx.com/api/fhir/ei-trami

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1396794350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2925",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072925",
            "telephone_number": "509-248-6633",
            "fax_number": "509-248-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOLTON AVE",
            "address_2": "SUITE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023254",
            "telephone_number": "509-248-6633",
            "fax_number": "509-248-0178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021900",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "BL9407001",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD 60551281",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "057533",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "748617841",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044744",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.