Active NPI
East Jefferson Radiology, Inc
- Specialist
- Port Townsend, WA
National Provider Identifier
1811194988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- EAST JEFFERSON RADIOLOGY, INC
- Practice address
- 834 Sheridan St
Port Townsend, WA 98368-2443 - Phone
- (360) 385-2200
- NPI assigned
- Jun 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fernando E Lamas, M.D
- Title
- President
- Phone
- (360) 385-0349
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | WA | Primary |
Addresses
Primary practice location
834 Sheridan St
Port Townsend, WA 98368-2443
Mailing address
PO Box 555
Port Townsend, WA 98368-0555
Phone (360) 385-0349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1078260 | Medicaid | WA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Port Townsend, WA
- NPI 1942423025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811194988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 555",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983680555",
"telephone_number": "360-385-0349",
"fax_number": "360-379-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 SHERIDAN ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983682443",
"telephone_number": "360-385-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST JEFFERSON RADIOLOGY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LAMAS",
"authorized_official_first_name": "FERNANDO",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-385-0349",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1078260",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Townsend, WA
Sources for this page
- 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.