| Ryan Michael Merritt, DO | |
| 533 S 336th St Ste C, Federal Way, WA 98003-6329 | |
| (253) 661-1700 | |
| Not Available | 
| Full Name | Ryan Michael Merritt | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 533 S 336th St Ste C, 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 | 
|---|---|---|---|
| 1609361955 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | OP61454946 (Washington) | Primary | 
| Entity Name | Vantage Radiology & Diagnostic Services, A Professional Services Corp | 
|---|---|
| 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 | 
|---|---|
| Ryan Michael Merritt, DO 533 S 336th St Ste C, Federal Way, WA 98003-6329 Ph: () - | Ryan Michael Merritt, DO 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 |