CLINICAL RADIOLOGISTS, S.C. (NPI# 1134552821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134552821 |
| Entity Type | Organization |
| Organization Name | CLINICAL RADIOLOGISTS, S.C. |
| Practice Address |
2812 Pat Tillman Dr Springfield IL 62711-6410 |
| Mailing Address |
3050 Montvale Dr Suite A Springfield IL 62704-4290 |
| Practice Telephone | 2177263389 |
| Mailing Telephone | 2177263389 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |
| Authorized Official Name | THOMAS C DICKERSON (CEO) |
| Authorized Official Telephone | 2177263389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992114714 | Clinical Radiologists, S.c. | Radiology | 295 Fox Dr, Boulder, CO 80303-3529 | 2014-08-06 |
| 1710310495 | Clinical Radiologists, S.c. | Radiology | 1610 Fair Oaks Dr, Westlake, TX 76262-8209 | 2013-08-16 |
| 1700219482 | Clinical Radiologists, S.c. | Radiology | 805 Saint Louis St, Edwardsville, IL 62025-1428 | 2013-08-16 |
| 1780016394 | Clinical Radiologists, S.c. | Radiology | 1005 Broadway St, Quincy, IL 62301-2834 | 2013-08-06 |
| 1164864450 | Clinical Radiologists, S.c. | Radiology | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2013-07-27 |
| 1689010605 | Clinical Radiologists, S.c. | Radiology | 331 S 36th St, Suite 2, Quincy, IL 62301-5840 | 2013-05-16 |
| 1780020701 | Clinical Radiologists, S.c. | Radiology | 3050 Montvale Dr, Suite A, Springfield, IL 62704-4290 | 2013-05-16 |
| 1063469252 | Clinical Radiologists, S.c. | Radiology | 701 N 1st St, Springfield, IL 62781-0001 | 2006-05-31 |
| Street Address |
2812 PAT TILLMAN DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62711-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057220 | Merissa Pryor | Social Worker | 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 | 2018-06-17 |
| 1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
| 1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
| 1306249248 | Schon Dental, LLC | Dentist | 2809 Mansion Road Suite D, Springfield, IL 62711 | 2014-10-07 |
| 1891105490 | John Weiss | Pharmacist | 4200 Conestoga Drive, Springfield, IL 62711 | 2014-05-05 |
| 1720350689 | Victor Harold Lary | Family Medicine | 3251 Spaulding Orchard Road, Springfield, IL 62711 | 2012-02-07 |
| 1902181795 | Amanda Rose Davis | Pharmacist | 2500 Koke Mill Rd, Springfield, IL 62711 | 2011-10-12 |
| 1316233703 | Karen Zerkle | Dentist | 2809 Mansion Rd, Suite D, Springfield, IL 62711 | 2011-06-23 |
| 1255520557 | Link Chiropractic LLC | Chiropractor | 7012 Kingsmill Ct, Springfield, IL 62711 | 2007-10-23 |
| 1669688230 | Victoria Lynn Driskill | Dentist | 4701 W. Wabash Ave, Springfield, IL 62711 | 2007-05-14 |
| Find all providers in zip 62711 | ||||
| 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 |
|---|---|---|---|---|
| 1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
| 1154738961 | Allison Kate Retzer | Radiology | 701 N 1st Box 101, Springfield, IL 62781-0001 | 2014-07-14 |
| 1700199668 | Telerad of Mo Account Management, LLC | Radiology | 5117 S. Neffleton Ave, Springfield, MO 65810 | 2010-07-21 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| 1316108434 | Michael C Snyder | Radiology | 2201 Greenside Dr, Springfield, IL 62704-3245 | 2008-06-20 |
| 1245416536 | Mary T Peter | Radiology | Springfield Radiologists St Johns Hospital, 800 E. Carpenter Street, Springfield, IL 62769-0001 | 2008-01-16 |
| 1437361060 | Kal Dulaimy | Radiology | 1350 Main Street Suite 1007, Radiology and Imaging, Inc., Springfield, MA 01103-0000 | 2007-05-04 |
| 1265654164 | Nzeadibenma O Uzochukwu | Radiology | 800 Carpenter St, Springfield, IL 62769-0001 | 2007-05-02 |
| 1396865838 | Charles X Stricker | Radiology | 4303 E Lori Lei Ct, Springfield, MO 65809-3501 | 2007-03-29 |
| 1558400358 | Simon Vladimir Bekker | Radiology | Springfield Radiologists S C, 800 East Carpenter Street, Springfield, IL 62769-0001 | 2007-02-06 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62711 |
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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.