South Sound Radiologists Inc P S

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTH SOUND RADIOLOGISTS INC P S

Doing business as

South Sound Radiology

Practice address

3417 Ensign Rd NE
Olympia, WA 98506-5064

Phone

(360) 493-4600

Fax

(360) 493-4603

NPI assigned

Oct 3, 2006

Last updated

Jan 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Hao Shen, MD

Title

Authorized Official

Phone

(425) 563-1500

Specialties & licenses 1

Addresses

Other names 1

• South Sound Radiology Doing business as

Medicare fee-for-service enrollment

Enrolled in WA, GA, CA, OR, VA, UT, AZ, FL, MA, TX, MI, NE, AL, IN, NV, NC, DC, ID, IA, PA, SC, CO, MO, MT, CT, OH, HI, OK, ME, LA, TN, IL, SD33 enrollments

Enrollment records 33

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Olympia Open MRI LLC

  • Diagnostic Radiology Physician
  • Lacey, WA
  • NPI 1073573820

  Member Of

  NPD member

Locations

Practitioners 262

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hassan Muhammad Ahmad, MD

  • Vascular & Interventional Radiology Physician
  • Lynnwood, WA
  • NPI 1609219153

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• David Alan Alexander, MD

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1538202528
  Medicare reassignment Care Compare group NPD
• Robert Chase Apland

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1447642525
  Medicare reassignment Care Compare group NPD
• Zachary Robert Ashwell, MD

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1396189445
  Medicare reassignment Care Compare group NPD
• David Arthur Atkins, MD

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1588651236
  Medicare reassignment Care Compare group NPD
• Dae Hee Bang, M.D.

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1972515211
  Medicare reassignment Care Compare group NPD
• Keith Aaron Bernstein, MD

  • Neuroradiology Physician
  • Vancouver, WA
  • NPI 1760446306

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Robert D Bloch, MD

  • Diagnostic Radiology Physician
  • Vancouver, WA
  • NPI 1598727679

  CA

  Medicare reassignment Care Compare group NPD
• Samuel J. Boynton, MD

  • Diagnostic Radiology Physician
  • Olympia, WA
  • NPI 1083827992
  Medicare reassignment Care Compare group NPD
• Herbert W. Chen, M.D.

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1720038078
  Medicare reassignment Care Compare group NPD
• Jonathan Merlin Davison, M.D.

  • Nuclear Medicine Physician
  • Tacoma, WA
  • NPI 1376500579

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Michael Andrew Degroot, MD

  • Vascular & Interventional Radiology Physician
  • Lynnwood, WA
  • NPI 1871680447

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1902990500",
    "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": "3417 ENSIGN RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065064",
            "telephone_number": "360-493-4600",
            "fax_number": "360-493-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND RADIOLOGISTS INC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HAO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "425-563-1500",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "South Sound Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Sound Oral Surgery PLLC
• South Sound Pediatrics PLLC
• South Sound Pediatrics PLLC (South Sound Pediatrics)
• South Sound Physical & Hand Therapy PLLC
• South Sound Pulmonary Associates
• South Sound Surgical Associates
• South Sound Vasectomy and Men's Health
• South Sound Women's Center LLP
• Jakob Larz South
• Craig Longridge Southwell, M.D.

• Diagnostic Radiology Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.