Harbor Radiologists, P.S.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

HARBOR RADIOLOGISTS, P.S.

Practice address

1108 Basich Blvd
Aberdeen, WA 98520-1066

Phone

(360) 533-0400

Fax

(360) 533-5633

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Wilna J Wheeler

Title

Administrator

Phone

(360) 533-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Dennis M Oconnell, MD

  • Diagnostic Radiology Physician
  • Aberdeen, WA
  • NPI 1447343363
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639203649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 BASICH BLVD",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201066",
            "telephone_number": "360-533-0400",
            "fax_number": "360-533-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 BASICH BLVD",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201066",
            "telephone_number": "360-533-0400",
            "fax_number": "360-533-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR RADIOLOGISTS, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "WILNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-533-0400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7844707",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harbor Internal Medicine PLLC
• Harbor Kids Dental PLLC
• Harbor Ophthalmology
• Harbor Orthopedic and Fracture Clinic
• Harbor Physical Therapy Services, PS
• Harbor Surgical Associates, Inc., P.S.
• Cody Robert Harden
• Melanie Joy Hardy, LMP
• Wilson Edward Hardy V, DDS
• Erin A Hashiro, DPT

• Medical Specialty Clinic/Center in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.