Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Scott Randall Henneman, MD

Individual provider Neuroradiology Physician · NPI 1013173814

Dr. Scott Randall Henneman, MD is a Diagnostic Radiology in Tacoma, Washington. Graduated from Columbia University College of Physicians and Surgeons in 2008, 18 years ago. Practices with Tra-Minw P S, a 153-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
18
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
OR, WA
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1304 Fawcett Ave Ste 100
Tacoma, WA 98402
Phone: (253) 761-4200
Fax: (253) 761-4201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD60392348 (WA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence MD60392348 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD187713 (OR)
Neuroradiology Physician Taxonomy 2085N0700X · Licence MD187713 (OR)

Record details

NPI number1013173814
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2008
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2008 (18 years in practice)
Group practice Tra-Minw P S — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tacoma