Dr Jonathan Merlin Davison, MD | |
Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1000 | |
(253) 968-1645 | |
Not Available |
Full Name | Dr Jonathan Merlin Davison |
---|---|
Gender | Male |
Speciality | Nuclear Medicine |
Experience | 24 Years |
Location | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376500579 | NPI | - | NPPES |
01055856A | Other | IN | PHYSICIAN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 01055856A (Indiana) | Secondary |
207U00000X | Nuclear Medicine | 01055856A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Peter Hospital | Olympia, WA | Hospital |
Deaconess Medical Center | Spokane, WA | Hospital |
Northwest Specialty Hospital | Post falls, ID | Hospital |
Providence Centralia Hospital | Centralia, WA | Hospital |
Multicare Valley Hospital | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Sound Radiologists Inc P S | 1254229305 | 52 |
Central Washington Health Services Association | 4880504596 | 644 |
Radia Inc P S | 9931012812 | 256 |
Entity Name | Central Washington Health Services Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801937453 PECOS PAC ID: 4880504596 Enrollment ID: O20031106000287 |
Entity Name | Radia Inc P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20031106000749 |
Entity Name | Evergreen Radia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922095694 PECOS PAC ID: 4587568076 Enrollment ID: O20031125000896 |
Entity Name | South Sound Radiologists Inc P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902990500 PECOS PAC ID: 1254229305 Enrollment ID: O20040309001119 |
Entity Name | Swedish Radia Imaging Center At Edmonds Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164494373 PECOS PAC ID: 5496778292 Enrollment ID: O20060106000841 |
Entity Name | Wenatchee Valley Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669719688 PECOS PAC ID: 9537309869 Enrollment ID: O20130716000034 |
Entity Name | Jupiter Imaging Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932156767 PECOS PAC ID: 5294629135 Enrollment ID: O20180614002166 |
Entity Name | Radia Imaging Center Holdings Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639653017 PECOS PAC ID: 6305182965 Enrollment ID: O20190118000572 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Merlin Davison, MD 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001 Ph: (253) 968-1645 | Dr Jonathan Merlin Davison, MD Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1000 Ph: (253) 968-1645 |