Gordon F Greenman, MD | |
533 S 336th St, Ste C, Federal Way, WA 98003-6329 | |
(253) 661-1700 | |
(253) 661-4565 |
Full Name | Gordon F Greenman |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 533 S 336th St, Federal Way, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831198514 | NPI | - | NPPES |
8601338 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD00020778 (Washington) | Primary |
2085R0204X | Radiology - Vascular & Interventional Radiology | MD00020778 (Washington) | Secondary |
Entity Name | Vantage Radiology & Diagnostic Services, A Professional Services Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245230598 PECOS PAC ID: 8224937917 Enrollment ID: O20031231000620 |
Mailing Address | Practice Location Address |
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Gordon F Greenman, MD Po Box 26730, Federal Way, WA 98093-3730 Ph: (253) 661-1700 | Gordon F Greenman, MD 533 S 336th St, Ste C, Federal Way, WA 98003-6329 Ph: (253) 661-1700 |
Ronald F Nicol, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 533 S 336th St, Ste C, Federal Way, WA 98003 Phone: 253-661-1700 Fax: 253-661-4565 | |
Robert O Nathan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 181 S 333rd St, Suite 210, Federal Way, WA 98003 Phone: 253-661-1700 Fax: 253-661-4565 | |
James D Pister, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1911 Sw Campus Dr., #107, Federal Way, WA 98023 Phone: 253-839-0170 | |
Pyong C Kim, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 533 S 336th St, Ste C, Federal Way, WA 98003 Phone: 253-661-1700 Fax: 253-661-4565 | |
Michael R Nelsen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 533 S 336th St, Suite C, Federal Way, WA 98003 Phone: 253-661-1700 Fax: 253-661-4565 | |
Dr. Samuel Chu Chi Chao, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 533 S. 336th Street, Federal Way, WA 98003 Phone: 253-661-1700 | |
Dr. Jason K Mann, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 533 S 336th St, Ste C, Federal Way, WA 98003 Phone: 253-661-1700 |