Active NPI
Milton Lowell Van Hise, MD
- Diagnostic Radiology Physician
- Lynnwood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00038495
- Practice address
- 19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748 - Phone
- (425) 563-1500
- Fax
- (425) 563-1501
- NPI assigned
- Jan 5, 2006
- Last updated
- Nov 7, 2019
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | MD00038495 | WA | |
| Neuroradiology Physician | 2085N0700X | M-12379 | ID | |
| Neuroradiology Physician | 2085N0700X | MEDS8010 | AK | |
| Diagnostic Radiology Physician | 2085R0202X | M-12379 | ID | |
| Diagnostic Radiology Physician | 2085R0202X | MEDS8010 | AK | |
| Diagnostic Radiology Physician | 2085R0202X | MD00038495 | WA | Primary |
Addresses
Primary practice location
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Mailing address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204122 | Other | WA | L & I PROVIDER NUMBER |
| 1841278306 | Medicaid | ID | |
| 135577 | Other | WA | L&I PROVIDER NUMBER |
| 1017174 | Medicaid | AK | |
| 175556 | Other | WA | L&I PROVIDER NUMBER |
| 135652 | Other | WA | L&I PROVIDER NUMBER |
| 154345 | Other | WA | L&I PROVIDER NUMBER |
| 8255234 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID, CA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Loma Linda University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Okanogan County Public Hospital Dist No 4County of Santa ClaraPublic Hospital District No 4 King County Washington
Practice addresses (Care Compare)
Edmonds, WA 98026
Phone (501) 664-3914
Snohomish, WA 98296
Phone (425) 563-1500
11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100
1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208
1229 Madison St
Suite 900
Seattle, WA 98104-1391
Phone (206) 292-6233
13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 563-1500
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300
1600 E Jefferson St
Suite 300
Seattle, WA 98122-5645
Phone (206) 386-2677
16108 79 Ave SE
Snohomish, WA 98296-8618
Phone (425) 563-1500
19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500
203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151
21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200
2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000
3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966
5708 E Lake Samm Pkwy SE
Issaquah, WA 98029-8942
Phone (425) 563-1500
751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000
810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-12379 | ID | MD | Neuroradiology Physician |
| MD00038495 | WA | MD | Neuroradiology Physician |
| MEDS8010 | AK | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| Radia Oregon Radiology Medical Group LLC | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Swedish Radia Imaging Center at Edmonds LLC | Diagnostic Radiology | Current | Accepting new patients |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| Okanogan County Public Hospital District No. 3 | Current | Accepting new patients | |
| Msu Health Care Inc. | Neuroradiology | Current | Accepting new patients |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Msu Health Care Inc. | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Msu Health Care Inc | Current | Accepting new patients | |
| Radia California Radiology Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Central Washington Health Services Association | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Public Hospital District No 4 King County Washington | 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 |
| Public Hospital District No 4, King County Wa | Past | Accepting new patients | |
| Swedish Medical Center-Radia Issaquah Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
| Everett Radia LLC | Diagnostic Radiology | Past | Accepting new patients |
| Open MRI of Federal Way, L.L.C. | Past | Accepting new patients |
Locations (25 of 69)
500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300
4660 S Hagadorn Rd
Ste 410
East Lansing, MI 48823
Phone (517) 884-6132
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976
3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930
945 Hildebrand Ln NE
Ste 100
Bainbridge Island, WA 98110
Phone (206) 855-7700
303 Cottage Ave
Cashmere, WA 98815
Phone (509) 782-1541
80 N Main St
Coupeville, WA 98239
Phone (360) 378-4424
21600 Highway 99
Ste 240
Edmonds, WA 98026
Phone (206) 774-2632
21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
Organizations & group practices 42
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.
-
dba Confluence Health
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
-
dba Mid-Valley Hospital
- Critical Access Hospital
- Omak, WA
- NPI 1255387403
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
dba Seattle Radiology
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1639653017
-
dba Swedish Imaging Clinics
- Body Imaging Physician
- Everett, WA
- NPI 1114356904
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
dba Swedish Radia Edmonds
- Diagnostic Radiology Physician
- Edmonds, WA
- NPI 1164494373
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
dba Radia California
- Diagnostic Radiology Physician
- Santa Rosa, CA
- NPI 1740982032
WA
-
dba Radia Oregon
- Diagnostic Radiology Physician
- Medford, OR
- NPI 1073385423
WA
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Olympic Medical Center
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
-
dba PeaceHealth SW Heart & Vascular Center
- Cardiovascular Disease Physician
- Vancouver, WA
- NPI 1003194911
Hospital
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
dba Swedish Medical Center, Cherry Hill
- General Acute Care Hospital
- Seattle, WA
- NPI 1356496582
-
dba MultiCare Yakima Memorial Hospital
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1841278306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19020 33RD AVE W STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364748",
"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 STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364748",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HISE",
"first_name": "MILTON",
"middle_name": "LOWELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "WA",
"license": "MD00038495",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "ID",
"license": "M-12379",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "AK",
"license": "MEDS8010",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M-12379",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AK",
"license": "MEDS8010",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00038495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I PROVIDER NUMBER",
"identifier": "204122",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841278306",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER NUMBER",
"identifier": "135577",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1017174",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER NUMBER",
"identifier": "175556",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER NUMBER",
"identifier": "135652",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER NUMBER",
"identifier": "154345",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8255234",
"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 Nov 7, 2019; 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.