PACIFIC NORTHWEST RADIOLOGY NPI 1356560908

Radiology (Diagnostic Radiology) in Unalaska, AK

NPI 1356560908 Organization Radiology Diagnostic Radiology

About PACIFIC NORTHWEST RADIOLOGY

Pacific Northwest Radiology is a provider established in Unalaska, Alaska specializing in radiology (diagnostic radiology) . The NPI number of Pacific Northwest Radiology is 1356560908 and was assigned on April 2007. The practitioner's primary taxonomy code is 2085R0202X with license number 314344 (AK). The provider is registered as an organization and their NPI record was last updated 14 years ago. Pacific Northwest Radiology operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Burt Loessberg (Administrator)

NPI

1356560908

Provider NamePACIFIC NORTHWEST RADIOLOGY
Provider Location Address34 LAVALLE CT UNALASKA, AK 99685
Provider Mailing AddressPO BOX 26570 FRESNO, CA 93729
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-24-2007
Last Update Date02-27-2008


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.314344
License StateAK
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

PACIFIC NORTHWEST RADIOLOGY
34 LAVALLE CT
UNALASKA, AK
ZIP 99685
Phone: (907) 581-1202

Get Directions


Mailing Address

PACIFIC NORTHWEST RADIOLOGY
PO BOX 26570
FRESNO, CA
ZIP 93729
Phone: (541) 687-7134



Authorized Official

Authorized Official NameMR. BURT LOESSBERG
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(541) 687-7134

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
161045MEDICARE PIN (08)AK
MDG34ORMEDICAID (05)OR
135298MEDICARE PIN (08)OR

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578972170MRS. BEATRIZ ELIZABETH DIETRICK ANP
Individual
Nurse Practitioner (Family)34 LAVALLE CT
UNALASKA, AK 99685
(907) 581-1202

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.