| Columbia County Hospital District | |
|
1012 South Third Street Dayton WA 99328 | |
| (509) 382-2531 | |
| (509) 382-3205 |
| Full Name | Columbia County Hospital District |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1012 South Third Street, Dayton, Washington |
| Authorized Official Name and Position | Matt Minor (CFO) |
| Authorized Official Contact | 5093822531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia County Hospital District 1012 South Third Street Dayton WA 99328 Ph: (509) 382-2531 | Columbia County Hospital District 1012 South Third Street Dayton WA 99328 Ph: (509) 382-2531 |
| NPI Number | 1134128911 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 05/10/2023 |
| Medicare PECOS PAC ID | 5597653758 |
|---|---|
| Medicare Enrollment ID | O20040309000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134128911 | NPI | - | NPPES |
| 1042977 | Medicaid | WA |
| Provider Name | David P Woolever |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982609533 PECOS PAC ID: 4688575624 Enrollment ID: I20040114000305 |
| Provider Name | Brian W Rich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356334809 PECOS PAC ID: 5395631568 Enrollment ID: I20040225000083 |
| Provider Name | David M Munoz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750344149 PECOS PAC ID: 7416944335 Enrollment ID: I20040430000410 |
| Provider Name | Trent A Sanders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164485504 PECOS PAC ID: 7113915208 Enrollment ID: I20040505001707 |
| Provider Name | Christopher M Zylak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669435905 PECOS PAC ID: 8325037765 Enrollment ID: I20040510001527 |
| Provider Name | Cameron J Seibold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932161775 PECOS PAC ID: 7113916552 Enrollment ID: I20040510001548 |
| Provider Name | Scott Hoefer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316905094 PECOS PAC ID: 6507856507 Enrollment ID: I20040513000068 |
| Provider Name | Michael D Kirsch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275595001 PECOS PAC ID: 3971593765 Enrollment ID: I20040513001436 |
| Provider Name | Terri H Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316900632 PECOS PAC ID: 9335139146 Enrollment ID: I20040514000001 |
| Provider Name | Gregory M Sterne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407800527 PECOS PAC ID: 2365432812 Enrollment ID: I20040517000008 |
| Provider Name | David A Thorne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124081138 PECOS PAC ID: 2769473305 Enrollment ID: I20040521000370 |
| Provider Name | Robert Leuty Arnett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689637605 PECOS PAC ID: 2668453267 Enrollment ID: I20040528000672 |
| Provider Name | Christopher S Krejci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508829524 PECOS PAC ID: 3870576903 Enrollment ID: I20040610000439 |
| Provider Name | Norbert K Yee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437191004 PECOS PAC ID: 2769453521 Enrollment ID: I20040804001087 |
| Provider Name | Jill L Jenkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932298080 PECOS PAC ID: 3375515513 Enrollment ID: I20040809001247 |
| Provider Name | Michael E Luce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003904640 PECOS PAC ID: 2860440336 Enrollment ID: I20050111000746 |
| Provider Name | Ishwar P Bhat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386607661 PECOS PAC ID: 2466403977 Enrollment ID: I20050407000949 |
| Provider Name | Kenneth J Mccabe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548222136 PECOS PAC ID: 5890755326 Enrollment ID: I20050701000618 |
| Provider Name | Richard S Brunkan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427011543 PECOS PAC ID: 8224028261 Enrollment ID: I20050711000681 |
| Provider Name | Robert E Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730262726 PECOS PAC ID: 9335175751 Enrollment ID: I20050715000956 |
| Provider Name | Steven Y Sohn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871542928 PECOS PAC ID: 2769438290 Enrollment ID: I20050722000584 |
| Provider Name | Timothy Gleason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376570432 PECOS PAC ID: 2466484704 Enrollment ID: I20050907000791 |
| Provider Name | Jayson S Brower |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346298361 PECOS PAC ID: 0749179414 Enrollment ID: I20051012001002 |
| Provider Name | Julie R Kaczmark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124077029 PECOS PAC ID: 8527079979 Enrollment ID: I20060522000075 |
| Provider Name | April R Biggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154328458 PECOS PAC ID: 7416968516 Enrollment ID: I20060602000175 |
| Provider Name | Sean C Koskinen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407821853 PECOS PAC ID: 4284646308 Enrollment ID: I20060607000267 |
| Provider Name | Edward M Iuliano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154359156 PECOS PAC ID: 2860405925 Enrollment ID: I20060713000320 |
| Provider Name | Shawn R Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285661637 PECOS PAC ID: 5496653164 Enrollment ID: I20060713000329 |
| Provider Name | Dawn L Meicher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982793428 PECOS PAC ID: 5395745467 Enrollment ID: I20070115000125 |
| Provider Name | Corey D Judd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417055476 PECOS PAC ID: 9638189921 Enrollment ID: I20070222000001 |
| Provider Name | Gregory J Balmforth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780602367 PECOS PAC ID: 4183628951 Enrollment ID: I20070306000761 |
| Provider Name | Paula J Shepherd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164566675 PECOS PAC ID: 8022113513 Enrollment ID: I20070411000292 |
| Provider Name | Mai T Russell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962511709 PECOS PAC ID: 5193821692 Enrollment ID: I20070430000328 |
| Provider Name | Robert A Lloyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982757613 PECOS PAC ID: 9830296805 Enrollment ID: I20070525000536 |
| Provider Name | Jonathan P Crosier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366533481 PECOS PAC ID: 4486626082 Enrollment ID: I20070627000288 |
| Provider Name | Marc Brian Bruce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386746998 PECOS PAC ID: 1759473515 Enrollment ID: I20070824000052 |
| Provider Name | Terry Chun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194737429 PECOS PAC ID: 6305938119 Enrollment ID: I20070824000424 |
| Provider Name | Gary T Underhill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851375265 PECOS PAC ID: 1850483470 Enrollment ID: I20070827000624 |
| Provider Name | Heidi E Shields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053406488 PECOS PAC ID: 3274627989 Enrollment ID: I20070926000115 |
| Provider Name | Richard W Casey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770554859 PECOS PAC ID: 5991891335 Enrollment ID: I20071017000557 |
| Provider Name | Sara Kristine Ragsdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801877428 PECOS PAC ID: 5294774097 Enrollment ID: I20080124000104 |
| Provider Name | Chet R Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235310269 PECOS PAC ID: 4789755984 Enrollment ID: I20090724000684 |
| Provider Name | Dana B Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689887929 PECOS PAC ID: 1557458932 Enrollment ID: I20091013000192 |
| Provider Name | David E Holznagel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700064862 PECOS PAC ID: 1951452887 Enrollment ID: I20100707000466 |
| Provider Name | Patrick Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255478525 PECOS PAC ID: 5991855660 Enrollment ID: I20100708000974 |
| Provider Name | Stephanie J Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376536706 PECOS PAC ID: 6002930823 Enrollment ID: I20100901000049 |
| Provider Name | Sandeep Joshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790951531 PECOS PAC ID: 1658495106 Enrollment ID: I20100903000953 |
| Provider Name | James T Buratto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467438044 PECOS PAC ID: 3971687823 Enrollment ID: I20100916000102 |
| Provider Name | Chad M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174834535 PECOS PAC ID: 8224153200 Enrollment ID: I20101216000231 |
| Provider Name | Sadaf F Zaidi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104129071 PECOS PAC ID: 4981893104 Enrollment ID: I20110104000648 |
| Provider Name | Richard P Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861655284 PECOS PAC ID: 6800947508 Enrollment ID: I20110404000192 |
| Provider Name | Amy E Henkel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679737241 PECOS PAC ID: 4789861840 Enrollment ID: I20110527000230 |
| Provider Name | Sepehr S Maxood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770539991 PECOS PAC ID: 3476730045 Enrollment ID: I20110607000864 |
| Provider Name | Michael Frommlet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528087335 PECOS PAC ID: 7214064807 Enrollment ID: I20111116000931 |
| Provider Name | John W Bell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376726661 PECOS PAC ID: 3274702246 Enrollment ID: I20120404000510 |
| Provider Name | Jeffrey S Nackos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548451362 PECOS PAC ID: 6507943552 Enrollment ID: I20120410000486 |
| Provider Name | Scott N King |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740359231 PECOS PAC ID: 3173792413 Enrollment ID: I20120508000102 |
| Provider Name | Kortney K Killgore Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023379989 PECOS PAC ID: 5294986469 Enrollment ID: I20121115000623 |
| Provider Name | Kyle R Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316913221 PECOS PAC ID: 6103883392 Enrollment ID: I20130605000354 |
| Provider Name | Brian D Petersen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538138516 PECOS PAC ID: 3779528542 Enrollment ID: I20140611000371 |
| Provider Name | Irene Cruite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346559739 PECOS PAC ID: 9335366442 Enrollment ID: I20140813002970 |
| Provider Name | Nicole M Engledow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003248113 PECOS PAC ID: 9436385853 Enrollment ID: I20140822000611 |
| Provider Name | Steven J Wilhelm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962737528 PECOS PAC ID: 6901120211 Enrollment ID: I20150115000010 |
| Provider Name | Pushpender Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891925921 PECOS PAC ID: 7315180189 Enrollment ID: I20151009001199 |
| Provider Name | Lewis D Neace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184657876 PECOS PAC ID: 6103806328 Enrollment ID: I20151218000227 |
| Provider Name | Gwynneth G Neace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336131119 PECOS PAC ID: 0547327082 Enrollment ID: I20160108000634 |
| Provider Name | Joshua Garcia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437320942 PECOS PAC ID: 1254588031 Enrollment ID: I20160211002630 |
| Provider Name | Zachary A. Winter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659682722 PECOS PAC ID: 0143541748 Enrollment ID: I20160330002368 |
| Provider Name | Ryan Goff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972823573 PECOS PAC ID: 4183865090 Enrollment ID: I20160331000250 |
| Provider Name | Roy W Zimmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780609958 PECOS PAC ID: 6709831662 Enrollment ID: I20161201002103 |
| Provider Name | Joel A Brake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043225469 PECOS PAC ID: 8426032186 Enrollment ID: I20161208000536 |
| Provider Name | David M Bauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891955027 PECOS PAC ID: 5395914915 Enrollment ID: I20161212000955 |
| Provider Name | Adam J Benson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548250426 PECOS PAC ID: 1254432065 Enrollment ID: I20161219001967 |
| Provider Name | David Keaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578856449 PECOS PAC ID: 1254623671 Enrollment ID: I20161223000431 |
| Provider Name | Seth Brian Gillham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588944847 PECOS PAC ID: 9032417589 Enrollment ID: I20170110002677 |
| Provider Name | Anthony R D Amico |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689794083 PECOS PAC ID: 1850477944 Enrollment ID: I20170123002219 |
| Provider Name | Douglas A Murrey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649470170 PECOS PAC ID: 1951542463 Enrollment ID: I20170207003035 |
| Provider Name | Richard T Dahlen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972542173 PECOS PAC ID: 9133117666 Enrollment ID: I20170222002576 |
| Provider Name | Paul H Eikens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194767418 PECOS PAC ID: 7618992595 Enrollment ID: I20170224002011 |
| Provider Name | Kyle L Dale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295916120 PECOS PAC ID: 1153472857 Enrollment ID: I20170313000109 |
| Provider Name | Patrick Edward Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699801720 PECOS PAC ID: 6901078153 Enrollment ID: I20170320002552 |
| Provider Name | Mark W Elliott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053349415 PECOS PAC ID: 0143315002 Enrollment ID: I20170321002550 |
| Provider Name | Casey Schmitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710278510 PECOS PAC ID: 0547563116 Enrollment ID: I20170405001784 |
| Provider Name | Mark O Mcvee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780729400 PECOS PAC ID: 6507754330 Enrollment ID: I20170411000976 |
| Provider Name | Melissa R Czapka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376072553 PECOS PAC ID: 8123397247 Enrollment ID: I20170705003483 |
| Provider Name | James Eaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205826120 PECOS PAC ID: 7618152323 Enrollment ID: I20180104001863 |
| Provider Name | Jason S Vergnani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053604090 PECOS PAC ID: 6002173499 Enrollment ID: I20180115000460 |
| Provider Name | Jade L Regan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295095628 PECOS PAC ID: 4385938224 Enrollment ID: I20180326001919 |
| Provider Name | Matthew L Mesick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528327988 PECOS PAC ID: 4082843644 Enrollment ID: I20180703002726 |
| Provider Name | Dewayne Lynn Weaver |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265674071 PECOS PAC ID: 1355605528 Enrollment ID: I20180807003081 |
| Provider Name | Oksana Prychyna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861768343 PECOS PAC ID: 9931404076 Enrollment ID: I20180928002641 |
| Provider Name | Paige A Flett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730522889 PECOS PAC ID: 8527319789 Enrollment ID: I20190219000169 |
| Provider Name | David A Thayer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871936419 PECOS PAC ID: 0941421911 Enrollment ID: I20190311002053 |
| Provider Name | Tyson Finlinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265875991 PECOS PAC ID: 6103127998 Enrollment ID: I20190327003305 |
| Provider Name | Robert W Frost |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831538701 PECOS PAC ID: 3678702636 Enrollment ID: I20190401001000 |
| Provider Name | Jace D Hilton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225473465 PECOS PAC ID: 2163720897 Enrollment ID: I20190515002873 |
| Provider Name | Allison A Tillack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821417544 PECOS PAC ID: 9638485436 Enrollment ID: I20190611003732 |
| Provider Name | Scott Matthew Zelasko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558577981 PECOS PAC ID: 4880831205 Enrollment ID: I20190701000472 |
| Provider Name | Gurpreet S Dhillon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104091495 PECOS PAC ID: 5294998100 Enrollment ID: I20190722002829 |
| Provider Name | Adrian Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356704035 PECOS PAC ID: 4183954654 Enrollment ID: I20190925003423 |
| Provider Name | C Mark Alder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386631927 PECOS PAC ID: 1254314222 Enrollment ID: I20191004001267 |
| Provider Name | Stephanie M Simonson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124177043 PECOS PAC ID: 6406935022 Enrollment ID: I20191108002045 |
| Provider Name | Wendy L Ehieli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588963946 PECOS PAC ID: 9335431360 Enrollment ID: I20191230002252 |
| Provider Name | Richard F Kennard |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083876353 PECOS PAC ID: 7113211954 Enrollment ID: I20200217001158 |
| Provider Name | Jordan C Castle |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891080156 PECOS PAC ID: 1951542497 Enrollment ID: I20200318002191 |
| Provider Name | Scott H Bruschwein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659799732 PECOS PAC ID: 4981930989 Enrollment ID: I20200414001717 |
| Provider Name | Philip N Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992116842 PECOS PAC ID: 2769793041 Enrollment ID: I20200422002845 |
| Provider Name | Michael I Posch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821416439 PECOS PAC ID: 4385909530 Enrollment ID: I20200501002413 |
| Provider Name | Elizabeth R Joiner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962821009 PECOS PAC ID: 2668772443 Enrollment ID: I20200501002550 |
| Provider Name | Anne Marie Mclellan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548590813 PECOS PAC ID: 6800066291 Enrollment ID: I20200521000324 |
| Provider Name | Scott Bryk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336245943 PECOS PAC ID: 5698719789 Enrollment ID: I20210216001631 |
| Provider Name | Eric William Graham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689069908 PECOS PAC ID: 2668880527 Enrollment ID: I20210415002017 |
| Provider Name | Jennifer M Xiao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366803256 PECOS PAC ID: 3577858133 Enrollment ID: I20210511001353 |
| Provider Name | Mariam N Shehata |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821450537 PECOS PAC ID: 4183915549 Enrollment ID: I20210512001778 |
| Provider Name | Logan Beebe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871970277 PECOS PAC ID: 8628499407 Enrollment ID: I20210521002246 |
| Provider Name | Michael Jaehoon Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356738207 PECOS PAC ID: 7618284639 Enrollment ID: I20210525002841 |
| Provider Name | Rupinder Penna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972982874 PECOS PAC ID: 9234446394 Enrollment ID: I20210525003421 |
| Provider Name | Ben Hamblin Lecheminant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811378664 PECOS PAC ID: 8628383320 Enrollment ID: I20210528001839 |
| Provider Name | David Holt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942680830 PECOS PAC ID: 1355656877 Enrollment ID: I20210602003198 |
| Provider Name | Jessica R Kiefel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780258855 PECOS PAC ID: 0143622878 Enrollment ID: I20210716001880 |
| Provider Name | Brian Gump |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508251158 PECOS PAC ID: 6406276914 Enrollment ID: I20220309001520 |
| Provider Name | Samuel Joseph Plesner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588027627 PECOS PAC ID: 3971905894 Enrollment ID: I20220523002097 |
| Provider Name | Matthew Peter Curtis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629423710 PECOS PAC ID: 8628344173 Enrollment ID: I20220601001052 |
| Provider Name | Gregory Kujawski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982054813 PECOS PAC ID: 4284929142 Enrollment ID: I20220606002575 |
| Provider Name | Adam P Skibinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558725648 PECOS PAC ID: 2365733359 Enrollment ID: I20220606002714 |
| Provider Name | Casey Cable |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801243464 PECOS PAC ID: 0749573293 Enrollment ID: I20220608001922 |
| Provider Name | Ryne Dougherty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477915890 PECOS PAC ID: 6204127293 Enrollment ID: I20220608002323 |
| Provider Name | Douglas Lorenzo Handley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831552157 PECOS PAC ID: 0244630416 Enrollment ID: I20220608002957 |
| Provider Name | Amy Marie Newton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518314756 PECOS PAC ID: 6800295213 Enrollment ID: I20220610002622 |
| Provider Name | Jedidiah Schlung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386008548 PECOS PAC ID: 7618214933 Enrollment ID: I20220613000787 |
| Provider Name | Alison D Vasan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972957553 PECOS PAC ID: 0244522670 Enrollment ID: I20220830002898 |
| Provider Name | Michael T Bayona |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811330954 PECOS PAC ID: 4385962265 Enrollment ID: I20221213002418 |
| Provider Name | Michael Lee Ettner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629061940 PECOS PAC ID: 1557496080 Enrollment ID: I20230213001111 |
| Provider Name | Paul Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801020672 PECOS PAC ID: 1254565955 Enrollment ID: I20230602000596 |
| Provider Name | George William Keng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982091427 PECOS PAC ID: 2163714213 Enrollment ID: I20230630001260 |
| Provider Name | Michelle D Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285325241 PECOS PAC ID: 5395104814 Enrollment ID: I20230630002282 |
| Provider Name | Chen Yin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124559091 PECOS PAC ID: 4486041613 Enrollment ID: I20230703000635 |
| Provider Name | Cory Rasmussen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376992438 PECOS PAC ID: 7719271964 Enrollment ID: I20230731004121 |
| Provider Name | Nathan S Doyle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407381890 PECOS PAC ID: 1153700489 Enrollment ID: I20230831000997 |
| Provider Name | Robert Montgomery Townsend |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871029785 PECOS PAC ID: 3577941269 Enrollment ID: I20230908002411 |
| Provider Name | Alexander J Kurdi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356877476 PECOS PAC ID: 6305116278 Enrollment ID: I20230913003550 |
| Provider Name | Kendall T Carman-wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962552844 PECOS PAC ID: 6507820982 Enrollment ID: I20230926003686 |
| Provider Name | Will Rowan Fletcher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467956342 PECOS PAC ID: 9830562313 Enrollment ID: I20240517002861 |
| Provider Name | Corey Kholi Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598041162 PECOS PAC ID: 6800167875 Enrollment ID: I20240519000049 |
| Provider Name | Matthew Stegman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508363318 PECOS PAC ID: 4486901576 Enrollment ID: I20240528003241 |
| Provider Name | Wilson Bowlby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720538937 PECOS PAC ID: 7315297587 Enrollment ID: I20240530002621 |
| Provider Name | Michelle Tran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992292015 PECOS PAC ID: 7214396175 Enrollment ID: I20240530003752 |
| Provider Name | Dallin Johansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831686740 PECOS PAC ID: 0345599551 Enrollment ID: I20240606001200 |
| Provider Name | Bryce Gagliano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629573654 PECOS PAC ID: 6103171186 Enrollment ID: I20240729000560 |
| Provider Name | Darron Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649767658 PECOS PAC ID: 6406181452 Enrollment ID: I20240815003976 |
| Provider Name | Sarah Freathy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235634262 PECOS PAC ID: 9739444209 Enrollment ID: I20240821001409 |
| Provider Name | Akua B Anokye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851060065 PECOS PAC ID: 1557896461 Enrollment ID: I20241130000066 |
| Provider Name | David Gimarc |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407199730 PECOS PAC ID: 8921325549 Enrollment ID: I20241227000728 |
Columbia County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1012 South Third Street, Dayton, WA 99328 Phone: 509-382-3200 Fax: 509-382-2748 |