| 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 | 25 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 |
|---|---|---|
| Northwest Specialty Hospital | Post falls, ID | Hospital |
| Petaluma Valley Hospital | Petaluma, CA | Hospital |
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Providence St Peter Hospital | Olympia, WA | Hospital |
| Mason General Hospital & Family Of Clinics | Shelton, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Sound Radiologists Inc P S | 1254229305 | 61 |
| Central Washington Health Services Association | 4880504596 | 657 |
| Radia California Radiology Medical Group Inc | 8921465998 | 115 |
| Radia Inc P S | 9931012812 | 263 |
| 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 |
| Entity Name | Radia California Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740982032 PECOS PAC ID: 8921465998 Enrollment ID: O20231108002477 |
| 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 |