Active NPI
Skagit Osteoporosis Detection Center
- Diagnostic Radiology Physician
- Mount Vernon, WA
National Provider Identifier
1962511782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SKAGIT OSTEOPOROSIS DETECTION CENTER
- Practice address
- 1320 E Division
Mount Vernon, WA 98274-4196 - Phone
- (360) 424-6161
- Fax
- (360) 848-1167
- NPI assigned
- Aug 29, 2006
- Last updated
- Feb 1, 2008
- 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
- John T Burke, MD
- Title
- Partner
- Phone
- (360) 424-6161
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1320 E Division
Mount Vernon, WA 98274-4196
Mailing address
1320 E Division
Mount Vernon, WA 98274-4196
Phone (360) 424-6161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115379 | Other | WA | L&I |
| 7085079 | 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, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Mount Vernon, WA
- NPI 1740253491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201824000000",
"number": "1962511782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 E DIVISION",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744196",
"telephone_number": "360-424-6161",
"fax_number": "360-848-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 E DIVISION",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744196",
"telephone_number": "360-424-6161",
"fax_number": "360-848-1167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKAGIT OSTEOPOROSIS DETECTION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2008-02-01",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "360-424-6161",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "115379",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7085079",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
- Skagit Foot and Ankle Clinic
- Skagit Hand Therapy LLC
- Skagit Hospice Services L L C (Hospice of the Northwest)
- Skagit Hospice Services, LLC (Palliative Care of the Northwest)
- Skagit Island Rehabilitation Group (Mount Vernon Physical Therapy)
- Skagit OT Studio LLC (Skagit OT Studio)
- Skagit Pathology, Inc, PS
- Skagit Pediatrics, LLP
- Skagit Preschool Association and Resource Center
- Skagit Radiology Inc P S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.