Integra Imaging, PS
Organization Active NPI Diagnostic Radiology Physician · Spokane, WA
NPI 1467705657 · NPPES record last updated Oct 14, 2013
Key facts
- NPI
- 1467705657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- INTEGRA IMAGING, PS
- Practice address
- 801 S Stevens St
Spokane, WA 99204-2654 - Phone
- (509) 747-4455
- Fax
- (509) 363-7064
- NPI assigned
- Oct 25, 2012
- Organization subpart
- No
Authorized official
- Name
- Sarah Russell
- Title
- Coo
- Phone
- (509) 747-4455
Other NPIs on the same Medicare enrollment 2
Practitioners 59
-
Michael T Bayona, M.D.
-
John William Bell, M.D.
-
Marc Brian Bruce, M.D.
-
Scott Bruschwein, M.D.
-
James Buratto, M.D.
-
Terry Chun, MD
-
Irene Cruite, M.D.
-
Wendy Leigh Ehieli, M.D.
-
Joshua David Garcia, M.D.
-
Brian Gump, DO, MS
-
Jace Daniel Hilton, D.O.
-
David W Holt, M.D.
-
Patrick T. Hurley, M.D.
-
Edward M Iuliano, DO
-
David Andrew Keaton, M.D.
-
Michael D Kirsch, MD
-
Alexander Joseph Kurdi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121204000044 | WA | Part B Supplier - Clinic/Group Practice | 1355593062 |
Receives reassigned benefits from 151 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20161130001365 | MT | Part B Supplier - Clinic/Group Practice | 1355593062 |
Receives reassigned benefits from 134 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Stevensville, MT; Seeley Lake, MT; Polson, MT; Missoula, MT; Hamilton, MT; Florence, MT; Darby, MT |
National Provider Directory
Locations
7205 265th St NW
Stanwood, WA 98292
Phone (360) 629-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
801 S Stevens St
Spokane, WA 99204-2654
Mailing address
801 S Stevens St
Spokane, WA 99204-2654
Phone (509) 747-4455
Other names
- Seattle Locations
Other providers in Spokane, WA
- Instantmd, PLLC.
- Institute Medical Services, LLC
- Integra Imaging PS
- Integra Imaging, PS
- Integra Imaging, PS
- Integrated Dental Arts
- Integrated Dental Arts, PLLC
- Integrated Rehabilitation Group, PC
- Integrated Therapy NW PLLC
- Intentional Wellbeing LLC
All providers in Spokane, WA · Diagnostic Radiology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.