Daniel Susanto
- Male
Medical Specialty
Professional ID
- NPI: 1144364605
- PECOS ID: 6507999299
- Enrollment ID: I20100802000582
- Credential(MD, DO, DPM):
- Medical School: Medical College Of Wisconsin
- Medical School Graduation Year: 2004
Hospital Service
- Hospital CCN1: 500025
- Business Name (LBN)1: Swedish Medical Center Cherry Hill
- Hospital CCN2: 500124
- Business Name (LBN)2: Evergreenhealth Medical Center
- Hospital CCN3: 500051
- Business Name (LBN)3: Overlake Hospital Medical Center
- Hospital CCN4: 500152
- Business Name (LBN)4: Swedish Issaquah
- Hospital CCN5: 500027
- Business Name (LBN)5: Swedish Medical Center
Medical Practices
- Organization Name: Columbia Basin Imaging Pc
- Group Practice ID assigned by PECOS: 0345145264
- Number of Group Practice member: 65
Location
- Address1: 12606 E Mission Ave
- Address2:
- City: Spokane
- State: Washington
- Zip Code: 99216
- Phone Number: (509)924-6650
Location
- Address1: 14701 179th Ave Se
- Address2:
- City: Monroe
- State: Washington
- Zip Code: 98272
- Phone Number: (360)794-1409
Location
- Address1: 1600 E Jefferson St
- Address2:
- City: Seattle
- State: Washington
- Zip Code: 98122
- Phone Number: (206)320-3700
Location
- Address1: 500 17th Ave
- Address2:
- City: Seattle
- State: Washington
- Zip Code: 98122
- Phone Number:
Location
- Address1: 7320 216th St Sw
- Address2:
- City: Edmonds
- State: Washington
- Zip Code: 98026
- Phone Number: (425)673-3930
Location
- Address1: 888 Swift Blvd
- Address2:
- City: Richland
- State: Washington
- Zip Code: 99352
- Phone Number: (509)943-5616
Medical Practices
- Organization Name: Evergreen Radia Llc
- Group Practice ID assigned by PECOS: 4587568076
- Number of Group Practice member: 92
Location
- Address1: 11521 Ne 128th St
- Address2: Suite 200
- City: Kirkland
- State: Washington
- Zip Code: 98034
- Phone Number: (425)952-6100
Medical Practices
- Organization Name: Swedish Radia Imaging Center At Edmonds Llc
- Group Practice ID assigned by PECOS: 5496778292
- Number of Group Practice member: 85
Location
- Address1: 21700 Hwy 99
- Address2:
- City: Edmonds
- State: Washington
- Zip Code: 98026
- Phone Number: (425)297-6200
Medical Practices
- Organization Name: Wenatchee Valley Hospital
- Group Practice ID assigned by PECOS: 9537309869
- Number of Group Practice member: 575
Location
- Address1: 820 N Chelan Ave
- Address2:
- City: Wenatchee
- State: Washington
- Zip Code: 98801
- Phone Number: (509)663-8711
Medical Practices
- Organization Name: Radia Inc Ps
- Group Practice ID assigned by PECOS: 9931012812
- Number of Group Practice member: 170
Location
- Address1: 12040 Ne 128th St
- Address2:
- City: Kirkland
- State: Washington
- Zip Code: 98034
- Phone Number: (425)899-1800
Location
- Address1: 1321 Colby Ave
- Address2:
- City: Everett
- State: Washington
- Zip Code: 98201
- Phone Number: (425)261-4100
Location
- Address1: 1600 E Jefferson St
- Address2: Suite 203
- City: Seattle
- State: Washington
- Zip Code: 98122
- Phone Number: (425)297-6200
Location
- Address1: 21601 76th Ave W
- Address2:
- City: Edmonds
- State: Washington
- Zip Code: 98026
- Phone Number: (425)640-4250
Location
- Address1: 500 17th Ave
- Address2:
- City: Seattle
- State: Washington
- Zip Code: 98122
- Phone Number: (206)320-3700
Location
- Address1: 747 Broadway
- Address2:
- City: Seattle
- State: Washington
- Zip Code: 98122
- Phone Number: (206)386-6000
Location
- Address1: 747 Broadway Rm
- Address2: Suite 404
- City: Seattle
- State: Washington
- Zip Code: 98122
- Phone Number: (206)386-6000
Location
- Address1: 751 Ne Blakely Dr
- Address2: Suite 3020
- City: Issaquah
- State: Washington
- Zip Code: 98029
- Phone Number: (425)313-7000
Location
- Address1: 939 Caroline St
- Address2:
- City: Port Angeles
- State: Washington
- Zip Code: 98362
- Phone Number: (360)417-7441
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):