Active NPI
Paula S. Hallam, M.D.
- Diagnostic Radiology Physician
- Lynnwood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00039030
- Practice address
- 19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4746 - Phone
- (425) 563-1500
- Fax
- (425) 563-1374
- NPI assigned
- Jan 4, 2006
- Last updated
- Feb 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD00039030 | WA | Primary |
Addresses
Primary practice location
19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4746
Mailing address
19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4746
Phone (425) 563-1500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140442 | Other | WA | LNI PROVIDER ID |
| 140441 | Other | WA | L&I PROVIDER NUMBER |
| 140442 | Other | WA | L&I PROVIDER NUMBER |
| 8265340 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Northwestern University Feinberg Medical School, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Madison St
Suite 1590
Seattle, WA 98104-1306
Phone (206) 386-6060
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00039030 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Current | Accepting new patients | |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Radia Imaging Center at Edmonds LLC | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| South Sound Radiologists Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Evergreen Radia LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Ramic Federal Way, LLC | Past | Accepting new patients | |
| Swedish Medical Center-Radia Issaquah Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
| Zwanger & Pesiri Radiology Group, LLP | Diagnostic Radiology | Past | Accepting new patients |
| Open MRI of Federal Way, L.L.C. | Past | Accepting new patients |
Locations
945 Hildebrand Ln NE
Ste 100
Bainbridge Island, WA 98110
Phone (206) 855-7700
80 N Main St
Coupeville, WA 98239
Phone (360) 378-4424
21600 Highway 99
Ste 240
Edmonds, WA 98026
Phone (206) 774-2632
21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000
21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
728 134th St SW
Ste 120
Everett, WA 98204
Phone (425) 741-7500
11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001
1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000
3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233
1600 E Jefferson St
Seattle, WA 98122
Phone (206) 320-3700
500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111
550 17th Ave
Fl 5
Seattle, WA 98122
Phone (206) 386-3880
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
dba Seattle Radiology
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1639653017
-
dba South Sound Radiology
- Diagnostic Radiology Physician
- Olympia, WA
- NPI 1902990500
-
dba Swedish Imaging Clinics
- Body Imaging Physician
- Everett, WA
- NPI 1114356904
-
dba Swedish Radia Edmonds
- Diagnostic Radiology Physician
- Edmonds, WA
- NPI 1164494373
-
dba Vancouver Radiology
- Diagnostic Radiology Physician
- Vancouver, WA
- NPI 1154942886
-
dba Swedish Physician Division
- General Practice Physician
- Renton, WA
- NPI 1497129696
-
dba Nydic Open MRI of America-Federal Way
- Radiology Clinic/Center
- Federal Way, WA
- NPI 1710980511
-
- Clinic/Center
- Federal Way, WA
- NPI 1073708400
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
dba Swedish Medical Center, Cherry Hill
- General Acute Care Hospital
- Seattle, WA
- NPI 1356496582
-
dba University of Washington Medical Center
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1568440113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19020 33RD AVE W",
"address_2": "SUITE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364746",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19020 33RD AVE W",
"address_2": "SUITE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364746",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLAM",
"first_name": "PAULA",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00039030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LNI PROVIDER ID",
"identifier": "140442",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER NUMBER",
"identifier": "140441",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER NUMBER",
"identifier": "140442",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8265340",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.