CREWE OUTPATIENT IMAGING LLC (NPI# 1134427057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134427057 |
| Entity Type | Organization |
| Organization Name | CREWE OUTPATIENT IMAGING LLC |
| Other Organization Name | CREWE IMAGING CENTER |
| Practice Address |
12522 W Colonial Trail Hwy Suite 1 Crewe VA 23930-3329 |
| Practice Telephone | 4345380028 |
| Practice Fax Number | 4345380028 |
| Mailing Telephone | 4345380028 |
| Mailing Fax Number | 4345380028 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-04 |
| Authorized Official Name | MR. LAVELLE R HARDIN (MANAGED CARE ANALYST) |
| Authorized Official Telephone | 6153725441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Crewe Imaging Center | Doing Business As Name - Organization |
| Street Address |
12522 W COLONIAL TRAIL HWY SUITE 1 |
| City | CREWE |
| State | VA |
| Zip Code | 23930-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316120892 | Crewe Medical Center Inc | Family Medicine | 12522 W Colonial Trail Hwy, Crewe, VA 23930-0528 | 2007-12-07 |
| 1376191197 | Courtney Shane Barrett | Nurse Practitioner | 12522 W Colonial Trail Hwy, Crewe, VA 23930-3329 | 2019-08-27 |
| 1629394507 | Michelle Seamster Cook | Nurse Practitioner | 12522 W Colonial Trail Hwy, Crewe, VA 23930-0528 | 2010-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174765473 | Downs Enterprise Ltd | Ambulance | 7685 E. Patrick Henry Hwy., Crewe, VA 23930 | 2009-04-01 |
| 1841376720 | Jonathan Eric Marston | Family Medicine | 12522 W. Colonial Trail Hwy., Crewe, VA 23930 | 2006-10-31 |
| 1366523185 | Crittenden's Drug Store | Pharmacist | 121 West Carolina Ave, Crewe, VA 23930 | 2006-10-18 |
| 1841369808 | Crewe Medical Center | Family Medicine | 12522 W. Colonial Trail Hwy., Crewe, VA 23930 | 2006-11-06 |
| 1487730362 | Clarence Edward Hall II | Family Medicine | 12522 W. Colonial Trail Hwy., Crewe, VA 23930 | 2006-10-31 |
| 1538245972 | James R King Jr. | Pharmacist | 121 West Carolina Ave, Crewe, VA 23930 | 2006-10-28 |
| 1770534695 | Nottoway Co Emergency Squad | Ambulance | 501 E Virginia Ave, Crewe, VA 23930 | 2006-05-15 |
| 1912135740 | Charles I Rosenbaum | Family Medicine | 12522 W. Colonial Trail Hwy., Crewe, VA 23930-0528 | 2009-07-01 |
| 1609994573 | Amedisys Home Health of Virginia LLC | Home Health | 1602 W Virginia Ave # 12, Crewe, VA 23930-1051 | 2007-03-27 |
| 1972609535 | Quynhmai Truong | Dentist | 101 Mason St, Crewe, VA 23930-1745 | 2006-09-14 |
| Find all providers in zip 23930 | ||||
| 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 |
|---|---|---|---|---|
| 1154928034 | Sentara Advanced Imaging Solutions, LLC | Radiology | 6201 E Virginia Beach Blvd Ste 104, Norfolk, VA 23502-2824 | 2020-10-05 |
| 1336623123 | Dominion Imaging LLC | Radiology | 6600 W Broad St Ste 200, Richmond, VA 23230-1709 | 2018-09-18 |
| 1851816680 | Washington Radiology Associates, Pllc | Radiology | 1005 N Glebe Rd Ste 110, Arlington, VA 22201-4751 | 2017-08-14 |
| 1992257497 | Ahmed Refaat Dakhly Mohamed | Radiology | 428 Monroe Ln, Apt 206, Charlottesville, VA 22903-3325 | 2016-10-31 |
| 1497140644 | Eric Young You | Radiology | Pob 980615, 1250 E. Marshall St, Richmond, VA 23298-0615 | 2015-04-04 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1740692581 | Charles Manetz | Radiology | 14107 Mortemer Rd, Midlothian, VA 23113-6060 | 2014-05-28 |
| 1821338153 | Minutemen Radiology Inc | Radiology | 4551 Jefferson Pointe Ln, Suite # 5 ., Prince George, VA 23875-1478 | 2013-02-23 |
| 1154673713 | Waleed Ibrahim | Radiology | 4723 Commons Dr, Apt 304, Annandale, VA 22003-5066 | 2012-10-08 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| 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.