Active NPI
Eielson A Stewart
- Radiologic Technologist
- Seattle, WA
National Provider Identifier
1699547844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- RT00007191
- Practice address
- 3541 S Chicago St
Seattle, WA 98118-4030 - Phone
- (206) 379-6486
- NPI assigned
- Oct 23, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | RT00007191 | WA | Primary |
Addresses
Primary practice location
3541 S Chicago St
Seattle, WA 98118-4030
Mailing address
3541 S Chicago St
Seattle, WA 98118-4030
Phone (206) 379-6486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT00007191 | WA | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1699547844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3541 S CHICAGO ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981184030",
"telephone_number": "206-379-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3541 S CHICAGO ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981184030",
"telephone_number": "206-379-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "EIELSON",
"middle_name": "A",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "WA",
"license": "RT00007191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.