VALPARAISO RADIOLOGY GROUP, LLC (NPI# 1043269012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043269012 |
| Entity Type | Organization |
| Organization Name | VALPARAISO RADIOLOGY GROUP, LLC |
| Practice Address |
2411 Laporte Ave Valparaiso IN 46383-6914 |
| Mailing Address |
55 E 86th Ave Po Box 10645 Merrillville IN 46410-6382 |
| Practice Telephone | 2194767226 |
| Practice Fax Number | 2197386714 |
| Mailing Telephone | 2197691670 |
| Mailing Fax Number | 2197386714 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MOHAMMED ABBAS (PRESIDENT) |
| Authorized Official Telephone | 2197691670 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| Street Address |
2411 LAPORTE AVE |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265472716 | Jeffrey M. Huth | Radiology | 825 E Lincolnway, Valparaiso, IN 46383-5803 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003954884 | Board of Trustees of Welborn Clinic | Radiology | 401 N Richland Creek Dr, Princeton, IN 47670-3536 | 2007-02-02 |
| 1134178148 | Southlake Mri & Diagnostic Center LLC | Radiology | 108 E 90th Dr, Merrillville, IN 46410-7160 | 2006-05-08 |
| 1801881255 | Howard Elvindo Wiarda | Radiology | 621 Memorial Dr Ste 312, South Bend, IN 46601 | 2005-09-13 |
| 1578557815 | Radiology, Inc | Radiology | 620 W Edison Rd, Suite 110, Mishawaka, IN 46545-2784 | 2005-09-01 |
| 1013363308 | Madison County Community Health Center | Radiology | 1547 Ohio Ave, Anderson, IN 46016-1917 | 2016-05-05 |
| 1205190147 | Jonathan C Lee | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2012-06-26 |
| 1740506229 | Sridevi Kanuri | Radiology | 620 W Edison Rd, Ste 110, Mishawaka, IN 46545-2784 | 2010-04-09 |
| 1417155169 | April L Cox | Radiology | 520 S 7th St, Vincennes, IN 47591-1038 | 2007-07-04 |
| 1164639985 | Durga K Pai | Radiology | 2401 W University Ave, Muncie, IN 47303-3428 | 2007-05-17 |
| 1376758524 | Jeffrey Alan Dedelow | Radiology | 429 S Landmark Ave, Bloomington, IN 47403-5003 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
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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.