Joseph Reis IIi
Radiology (Pediatric Radiology)

Address: 4800 Sand Point Way Ne, Seattle, WA 98105-3901
Phone: 2069872000

Joseph Reis IIi (NPI# 1053571174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1053571174
Entity Type Individual
Full Name Joseph Reis IIi
Credential M.D.
Gender Male
Practice Address 4800 Sand Point Way Ne
Seattle
WA 98105-3901
Practice Telephone 2069872000
Mailing Address 4800 Sand Point Way Ne
Seattle
WA 98105-3901
Mailing Telephone 2069872000
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-06-12
Last Update Date 2018-12-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085P0229X Radiology · Pediatric Radiology Allopathic & Osteopathic Physicians MD60878020 WA

Other Provider Identifier

State Identifier Issuer Type Code
WA 1053571174 MEDICAID

Other Providers JOSEPH REIS

NPI Name Taxonomy Address Enumeration
1376583674 Joseph Wayne Reis Nurse Practitioner 118 E 8th St, Port Angeles, WA 98362-6129 2006-06-07

Physician Overview

NPI 1053571174
PAC ID by PECOS 7517271760
Professional Enrollment ID I20150731014871
Full Name Joseph Reis
Organization Legal Name RADIOLOGISTS OF UNIV OF ROCHESTER
Phone Number 5852752734
Gender M
Graduation Year 2008
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 6800700170
Number of Group Practice Members 76
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330285 STRONG MEMORIAL HOSPITAL
330164 HIGHLAND HOSPITAL

Office Location

Street Address 4800 SAND POINT WAY NE
City SEATTLE
State WA
Zip Code 98105-3901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467923300 Mikala James Raiskin Nurse Practitioner 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2018-12-17
1235601501 Jonelle Milfort Nurse Practitioner 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2018-12-26
1598237919 Evan Abrass Pharmacist 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2018-12-24
1437629375 Anna Mccudden Nurse Practitioner 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2018-12-04
1780154815 Julia Rigg Mueller Nurse Practitioner 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2018-12-02
1033688858 Brita Louise Oleson Nurse's Aide 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2018-11-21
1073082129 Emily Jean Vitale Nurse Practitioner 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2018-11-19
1780153114 Elizabeth Mardesich Nurse Practitioner 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2018-11-14
1922575505 Gretchen Bjelke Registered Nurse 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2018-10-31
1346717006 Amber Mashuta Nurse Practitioner 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2018-10-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780155648 Eryn R Mcentee Naturopath 2216 Ne46th St, Seattle, WA 98105 2018-12-17
1356811921 Kyle Leland Bernbach Massage Therapist 5224 Ravenna Ave Ne, Seattle, WA 98105 2018-11-27
1851870463 Alexandra Murphy Counselor Seattle Childrens Hospital, 4800 Sand Point Way Ne, Ms Oa.5.154, Seattle, WA 98105 2018-08-14
1083119499 Caroline Vandiver Jackson Student in an Organized Health Care Education/Training Program 4800 Sand Point Way Ne, O.c. 7.830, Seattle, WA 98105 2018-03-27
1154825503 Robert Edward Johnson IIi Student in an Organized Health Care Education/Training Program University of Washington, Department of Oral Surgery, 1959 Ne Pacific Street, Seattle, WA 98105 2018-03-21
1447762000 Lex Barker Student in an Organized Health Care Education/Training Program 4311 11th Ave Ne #200, Seattle, WA 98105 2017-11-03
1205354511 Robert Lee Moore Student in an Organized Health Care Education/Training Program Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 2017-09-07
1669990230 Olivia Price Student in an Organized Health Care Education/Training Program Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 2017-09-05
1851819460 Andrea Cigliola Student in an Organized Health Care Education/Training Program Medex Northwest 4311 11th Avenue Ne Suite 200, Seattle, WA 98105 2017-09-03
1437675667 Jennifer Lynn Casler Physician Assistant 4311 11th Ave Ne, Suite 200, Seattle, WA 98105 2017-08-18
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Taxonomy Information

Taxonomy Code 2085P0229X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Pediatric Radiology

Taxonomy Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295094266 Ezekiel Maloney Radiology 1959 Ne Pacific St, Box 357115, Seattle, WA 98195-7115 2012-05-11
1487853024 Jason N Wright Radiology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2007-07-13
1801950084 Marguerite T Parisi Radiology 4800 Sand Point Way Ne, Seattle, WA 98105 2006-12-21
1235206889 Edward Weinberger Radiology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-11-29
1396811667 Angelisa M Paladin Radiology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-11-28
1558442814 Dennis W Shaw Radiology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-17
1871674127 Grace Sian Phillips Radiology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-17
1609957968 Eric L Effmann Radiology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-17
1245320134 Stephen L Done Radiology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-13
1821188715 David K Brewer Radiology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-13
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Competitor

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City SEATTLE
Zip Code 98105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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