Provider Demographics
NPI:1588651236
Name:ATKINS, DAVID ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARTHUR
Last Name:ATKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19020 33RD AVE W STE 210
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4748
Mailing Address - Country:US
Mailing Address - Phone:425-563-1500
Mailing Address - Fax:425-563-1374
Practice Address - Street 1:19020 33RD AVE W STE 210
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4748
Practice Address - Country:US
Practice Address - Phone:425-563-1500
Practice Address - Fax:425-563-1501
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-122172085R0202X, 207U00000X
WAMD000227762085R0202X, 207U00000X
MIEMC00056652085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0175517OtherL&I-EVERGREEN RADIA
ID1588651236Medicaid
WA0204089OtherL&I-SWEDISH RADIA EDMONDS
WA1013933Medicaid
WA0386100OtherL&I-SOUTH SOUND RADIOLOGY
WA0115843OtherL&I-RADIA REST OF WA
WA0377827OtherL&I-RADIA KING CTY
WA0402032OtherL&I-SEATTLE RADIOLOGY
WA300122203OtherRR MEDICARE
WAAB39934Medicare PIN
WAGAB02913Medicare PIN
ID20004652Medicare PIN
WA8863817Medicare PIN
ID1588651236Medicaid
WAG8883995Medicare PIN
WA115843OtherLNI PROVIDER ID
WA8857067Medicare PIN
WA204089OtherLNI PROVIDER ID
WA8135857Medicaid
WA8857935Medicare PIN
WAG8907246Medicare PIN