South Sound Radiologists Inc P S

NPI 1902990500ActiveOrganization· Radiology, Diagnostic Radiology· Olympia, WA

Radiology, Diagnostic Radiology in Olympia, Washington, registered in NPPES in October 2006. The authorized official on file is Charles Hao Shen, MD, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1902990500
Status	Active
Entity type	Organization
NPI issued	Oct 3, 2006
Last updated in NPPES	Jan 17, 2022
Certified by provider	Jan 17, 2022

Specialties and licenses

Taxonomy	Code	License	State
Radiology, Diagnostic Radiology Primary	2085R0202X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (SD); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (WA)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (SD); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (WA)

Medicare sources and data years

Other diagnostic radiologists in Olympia

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Tariq Hesham Balawi, MD
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Olympia Radiologists, P.S.
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Christopher Brinson Hartness, MD
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Chrystel Therese Venturini, MD
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Kevin Jay Roscoe, M.D.
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John Harding Bartow II, D.O.
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David N.M.I. Stagnone, M.D.
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Andrew Robert Taylor, M.D.
Olympia, WA · Individual
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Amn Healthcare Services Inc.
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1710690409
Lawrence Northwood Bennett, MD
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Gurdarshan Singh Dhanda, MD
Olympia, WA · Individual
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All 24 diagnostic radiologists in Olympia · All diagnostic radiologists in Washington