GARY A PODOLNY (NPI# 1003812272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003812272 |
Entity Type | Individual |
Full Name | GARY A PODOLNY |
Credential | MD |
Practice Address |
13305 E Saddlerock Rd Tucson AZ 85749-9296 |
Practice Telephone | 5207493468 |
Mailing Telephone | 5207493468 |
Enumeration Date | 2005-06-22 |
Last Update Date | 2013-04-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085B0100X |
Radiology Specialization: Body Imaging |
35209 | AZ | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35209 | AZ | Allopathic & Osteopathic Physicians |
N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
35209 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | GROUP MEDICARE RAILROAD ID & PTAN | CS7943 | 01 |
AZ | 133383 | 05 | |
AZ | GROUP NPI | 1841261989 | 01 |
AZ | MEDICARE RAILROAD | P00358695 | 01 |
AZ | GROUP MEDICARE ID | ZWCBBM | 01 |
AZ | GROUP MEDICAID ID | 005472 | 01 |
AZ | PHYSICIAN INDIVIDUAL NPI | 1003812272 | 01 |
Street Address |
13305 E SADDLEROCK RD |
City | TUCSON |
State | AZ |
Zip Code | 85749-9296 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194197400 | Kristin Palmer | Specialist | 9006 E Eagle Place, Tucson, AZ 85749 | 2015-10-26 |
1417349028 | Intermountain Centers for Human Develoment Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8851 East Tanque Verde, Tucson, AZ 85749 | 2015-02-19 |
1659776557 | Mahmoud Moghaddami | Nurse Practitioner | 1075 E Ft Lowell, Tucson, AZ 85749 | 2014-11-04 |
1255632295 | John Leroy Kallmeyer, M.d. | Obstetrics & Gynecology | 11122 E. Rusty Spur Pl., Tucson, AZ 85749 | 2010-11-08 |
1861708547 | Nancy H Mcgibbon | Physical Therapist | 8920 E. Woodland Rd, Tucson, AZ 85749 | 2010-08-19 |
1366773103 | Lee J Weisbard | Pharmacist | 9115 E Tanque Verde Road, Tucson, AZ 85749 | 2010-01-19 |
1568612869 | Southwest Surgical Services | Specialist/Technologist, Other | 12125 E. Quesada Place, Tucson, AZ 85749 | 2008-09-23 |
1841456589 | David Dietz | Counselor | 1795 W. Drexel, Tucson, AZ 85749 | 2008-08-01 |
1124203682 | Marilou Errazo-searles | Registered Nurse | 11109 E Tanque Verde Rd, Tucson, AZ 85749 | 2008-01-03 |
1427142074 | Rgl Development, LLC | Assisted Living Facility | 9050 E Tanque Verde Road, Tucson, AZ 85749 | 2006-10-03 |
Find all providers in zip 85749 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 |
---|---|---|---|---|
1841840188 | Smsj Imaging Company LLC | Radiology | 630 N Alvernon Way Ste 150, Tucson, AZ 85711-1844 | 2019-09-18 |
1417507765 | Smsj Imaging Company LLC | Radiology | 395 N Silverbell Rd Ste 185, Tucson, AZ 85745-2721 | 2019-09-18 |
1740839786 | Smsj Imaging Company LLC | Radiology | 4892 N Stone Ave Ste 180, Tucson, AZ 85704-5761 | 2019-09-11 |
1104280205 | Marcus Paul Carr | Radiology | Banner University Medical Center 1501 N, Tucson, AZ 85724-6410 | 2016-04-05 |
1659751774 | Chelsea Conn Caruso | Radiology | 1625 N Campbell Ave Unit 22, Tucson, AZ 85719-4330 | 2015-06-03 |
1699154542 | Lea Mackinnon | Radiology | 5749 E Hawthorne St, Tucson, AZ 85711-1523 | 2015-05-26 |
1245618545 | Arizona State Radiology, PC | Radiology | 12112 Rancho Vistoso Blvd 150-221, Tucson, AZ 85755 | 2015-05-07 |
1811385388 | Donald Lee Tempkin | Radiology | 3831 E Sumo Noveno, Tucson, AZ 85718-6051 | 2015-01-06 |
1356782221 | Wyatt Unger | Radiology | University of Arizona College of Medicine, 1501 N Campbell, Tucson, AZ 85721-0001 | 2013-07-08 |
1992046767 | Landon Winget | Radiology | 1845 W Orange Grove Rd Ste 105, Tucson, AZ 85704-1196 | 2013-03-04 |
Find all providers in TUCSON |
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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.