Active NPI
Bay Area Radiology, PC
- Diagnostic Radiology Physician
- Shoreline, WA
National Provider Identifier
1871080887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BAY AREA RADIOLOGY, PC
- Practice address
- 16935 14TH Ave NW
Shoreline, WA 98177-3840 - Phone
- (559) 455-4009
- NPI assigned
- Apr 16, 2018
- 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
- Barbara Michaelis, MD
- Title
- President
- Phone
- (559) 455-4009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
16935 14TH Ave NW
Shoreline, WA 98177-3840
Mailing address
5110 E Clinton Way
Fresno, CA 93727-2040
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523836800000",
"number": "1871080887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5110 E CLINTON WAY",
"city": "FRESNO",
"state": "CA",
"postal_code": "937272040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16935 14TH AVE NW",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981773840",
"telephone_number": "559-455-4009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY AREA RADIOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-16",
"last_updated": "2018-04-16",
"status": "A",
"authorized_official_last_name": "MICHAELIS",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-455-4009",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.