REGIONAL PET SCAN LLC (NPI# 1134128085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134128085 |
| Entity Type | Organization |
| Organization Name | REGIONAL PET SCAN LLC |
| Practice Address |
2000 Alburn Dr Suite 100 Beachwood OH 44122-4314 |
| Mailing Address |
3733 Park East Dr Suite 100 Beachwood OH 44122-4338 |
| Practice Telephone | 2164641917 |
| Mailing Telephone | 2162929998 |
| Mailing Fax Number | 2162929799 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2008-02-07 |
| Authorized Official Name | MRS. NANCY WESTRICH (MANAGING PARTNER) |
| Authorized Official Telephone | 8479200500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
1094IC | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2513855 | 05 |
| Street Address |
2000 ALBURN DR SUITE 100 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597735 | Jacqueline Hardges | Peer Specialist | 2000 Alburn Dr, Beachwood, OH 44122 | 2020-10-29 |
| 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 |
|---|---|---|---|---|
| 1235183435 | Jeffrey S. Bisker | Radiology | 3700 Park East Dr, Suite 450, Beachwood, OH 44122-4305 | 2006-05-20 |
| 1407836935 | Sanjeev Athale | Radiology | 3700 Park East Dr, Suite 450, Beachwood, OH 44122-4305 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124266556 | Western Hills Medical Imaging, Inc. | Radiology | 3319 Harrison Ave, Cincinnati, OH 45211-5618 | 2009-01-22 |
| 1003090994 | Ohio Diagnostic Imaging Inc. | Radiology | 19 Lyman Cir, Shaker Heights, OH 44122-2110 | 2007-12-27 |
| 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 |
| 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 | ||||
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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.