DIAGNOSTIC RADIOLOGY OF CLEVELAND, PC (NPI# 1023048030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023048030 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC RADIOLOGY OF CLEVELAND, PC |
| Practice Address |
2800 Westside Dr Nw Cleveland TN 37312-3501 |
| Mailing Address |
Po Box 284 Rome GA 30162-0284 |
| Practice Telephone | 4233394100 |
| Mailing Telephone | 7062918257 |
| Mailing Fax Number | 7062918161 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-10-31 |
| Authorized Official Name | DR. BRENT BARROW (PRESIDENT) |
| Authorized Official Telephone | 7062918257 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
2800 WESTSIDE DR NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651824 | Jonathan David Mcallister II | Internal Medicine | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2005-06-30 |
| 1669942769 | Adrianna Payne Sifford | Counselor | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2018-11-30 |
| 1851717094 | Chattanooga Psychiatry Clinic Pllc | Psychiatry & Neurology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2014-03-12 |
| 1801168562 | Tennessee Cancer Specialists | Internal Medicine | 2800 Westside Dr Nw, Sky Ridge Medical Center West Campus, Cleveland, TN 37312-3501 | 2012-01-27 |
| 1376723379 | Cleveland Tennessee Hospital Company LLC | Internal Medicine | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2007-11-07 |
| 1851595300 | Internal Medicine & Wound Consultants, Inc | Internal Medicine | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2007-06-11 |
| 1033227608 | Community Anesthesia, PC | Anesthesiology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-08-25 |
| 1679585798 | Mohsin Ali | Psychiatry & Neurology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-08-13 |
| 1831160753 | Cleveland Tennessee Hospital Company LLC | Psychiatric Unit | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-01-30 |
| 1255302006 | National Healthcare of Cleveland Nc | Medicare Defined Swing Bed Unit | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
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| 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 |
|---|---|---|---|---|
| 1568845279 | Rod Momenian | Radiology | 9500 Euclid Ave # Oh44195, Cleveland, OH 44195-1716 | 2015-06-30 |
| 1508123985 | Allan Chiunda | Radiology | Cleveland Clinic Foundation Diagnostic 9500 Ave, Cleveland, OH 44195-0001 | 2012-04-23 |
| 1659652915 | Fatemeh Abdollahi Mofakham | Radiology | 9500 Euclid Ave # A21, Cleveland, OH 44195-0006 | 2011-08-31 |
| 1306008743 | Leah Kim Sieck | Radiology | Crile Building Desk A 10, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2008-06-26 |
| 1962669754 | Aqeel Ahmad Chowdhry | Radiology | 1445 E 105th St, Cleveland, OH 44106-1137 | 2008-05-20 |
| 1912174954 | Laura Hagen Dean | Radiology | 9500 Euclid Ave # A10, Cleveland, OH 44195-0001 | 2008-05-09 |
| 1164610671 | Claus Simpfendorfer | Radiology | 9500 Euclid Ave - Desk A21, Cleveland, OH 44195 | 2007-10-10 |
| 1427257716 | Daniel Michael Roesel | Radiology | 9500 Euclid Ave # Hb6, Cleveland, OH 44195-5114 | 2007-07-16 |
| 1124222872 | Christopher Coppa | Radiology | 9500 Euclid Avenue, Hb6, Cleveland Clinic Foundation, Cleveland, OH 44195 | 2007-06-14 |
| 1891900114 | Rosalinn Santa Cruz | Radiology | 25001 Emery Rd Ste 100, Cleveland, OH 44128-5627 | 2007-05-11 |
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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.