OHIO DIAGNOSTIC IMAGING INC. (NPI# 1003090994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003090994 |
| Entity Type | Organization |
| Organization Name | OHIO DIAGNOSTIC IMAGING INC. |
| Practice Address |
19 Lyman Cir Shaker Heights OH 44122-2110 |
| Mailing Address |
Po Box 24036 Pepper Pike OH 44124-0036 |
| Practice Telephone | 2164036515 |
| Mailing Telephone | 8664948260 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | DR. JAMES O'DONNELL (PRESIDENT) |
| Authorized Official Telephone | 2164036515 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
19 LYMAN CIR |
| City | SHAKER HEIGHTS |
| State | OH |
| Zip Code | 44122-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124266556 | Western Hills Medical Imaging, Inc. | Radiology | 3319 Harrison Ave, Cincinnati, OH 45211-5618 | 2009-01-22 |
| 1881891182 | Jongdae Suh | Radiology | 3827 Paxton Ave., 838, Cincinnati, OH 45209 | 2007-06-29 |
| 1821205410 | Merrill F. Wymer | Radiology | 69856 The Mdws, Saint Clairsville, OH 43950-9349 | 2007-05-16 |
| 1144276429 | Youngstown Regional Pet Scan LLC | Radiology | 850 Mckay Ct, Youngstown, OH 44512-5745 | 2006-05-26 |
| 1932153095 | Nuclear Physicians Limited | Radiology | 4161 Bridgewater Pkwy, Stow, OH 44224-6191 | 2006-05-20 |
| 1578513255 | Rodney Victor Pozderac | Radiology | 2104 Front Street, Suite B, Cuyahoga Falls, OH 44221-3259 | 2006-05-11 |
| 1134128085 | Regional Pet Scan LLC | Radiology | 2000 Alburn Dr, Suite 100, Beachwood, OH 44122-4314 | 2005-07-21 |
| 1700885696 | Toledo Regional Pet Scan, LLC | Radiology | 3442 Granite Cir, Toledo, OH 43617-1160 | 2005-07-21 |
| 1386641454 | Peter Kanistros | Radiology | 4983 Delhi Ave, Suite 6, Cincinnati, OH 45238-5380 | 2005-07-05 |
| 1518594480 | Lucidsolutions, Inc. | Radiology | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-03-23 |
| Find all providers with the same taxonomy | ||||
| City | SHAKER HEIGHTS |
| Zip Code | 44122 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.