JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC (NPI# 1144559444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144559444 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC |
| Other Organization Name | JEFFERSON OUTPATIENT IMAGING |
| Practice Address |
470 John Young Way Suite #100 Exton PA 19341-2557 |
| Mailing Address |
840 Crescent Centre Dr Suite #200 Franklin TN 37067-4626 |
| Practice Telephone | 2155034900 |
| Practice Fax Number | 2155034921 |
| Mailing Telephone | 6155506049 |
| Mailing Fax Number | 6155506004 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2013-04-22 |
| Authorized Official Name | MR. WILLIAM PERRY BAKER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6155506049 |
| 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 |
|---|---|
| Jefferson Outpatient Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678352 | Jefferson University Radiology Associates, LLC | Radiology | 243 Hurffville Crosskeys Rd, Sewell, NJ 08080-4011 | 2020-01-07 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1902114168 | Jefferson University Radiology Associates, LLC | Physiological Laboratory | 1 W Germantown Pike, East Norriton, PA 19401-1513 | 2010-09-21 |
| 1710492764 | Jefferson University Radiology Associates, LLC | Radiology | 650 Carnegie Boulevard, Malvern, PA 19355-1935 | 2017-12-12 |
| 1104376797 | Jefferson University Radiology Associates, LLC | Radiology | 9601 Bustleton Ave, Philadelphia, PA 19115-3810 | 2016-10-07 |
| 1083907364 | Jefferson University Radiology Associates, LLC | Radiology | 1 W Germantown Pike, East Norriton, PA 19401-1513 | 2011-05-19 |
| 1275718561 | Jefferson University Radiology Associates, LLC | Radiology | 170 N Henderson Rd, Suites 103 & 104, King of Prussia, PA 19406-2155 | 2008-01-04 |
| Street Address |
470 JOHN YOUNG WAY SUITE #100 |
| City | EXTON |
| State | PA |
| Zip Code | 19341-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856628 | Richard Yelovich | Radiology | 470 John Young Way, Exton, PA 19341-2557 | 2005-07-29 |
| 1437763398 | Kelsey Kreider | Physical Therapist | 470 John Young Way, Suite 200, Exton, PA 19341-2557 | 2020-09-08 |
| 1427509793 | Megan Wylie | Physical Therapist | 470 John Young Way, Suite 200, Exton, PA 19341 | 2016-10-20 |
| 1588062335 | Vantage Cancer Care Network of Pennsylvania PC | Radiology | 470 John Young Way, Suite 400, Exton, PA 19341-2557 | 2014-12-10 |
| 1053719807 | Vantage Cancer Care - Pennsylvania PC | Radiology | 470 John Young Way, Suite 400, Exton, PA 19341-2557 | 2014-12-10 |
| 1700209020 | Andrea Yaktus | Physical Therapist | 470 John Young Way, Suite 200, Exton, PA 19341-2557 | 2014-01-22 |
| 1508106196 | Gina Marie Cunningham | Physical Therapist | 470 John Young Way, Ste 200, Exton, PA 19341-2557 | 2013-02-19 |
| 1467708966 | Colleen Tode | Physical Therapist | 470 John Young Way, Suite 200, Exton, PA 19341-2557 | 2012-08-02 |
| 1225366859 | Theresa M Feola | Physical Therapist | 470 John Young Way, Suite 200, Exton, PA 19341-2557 | 2009-11-19 |
| 1336327576 | Montgomery Radiology, P.C. | Clinic/Center | 470 John Young Way, Suite 100, Exton, PA 19341-2557 | 2008-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156024 | Kathryn Avery | Physical Therapy Assistant | Powerback Exton, 501 Thomas Jones Way, Exton, PA 19341 | 2019-07-18 |
| 1457814188 | Your Best Hearing, LLC | Audiologist | 308 Shoen Rd, Exton, PA 19341 | 2019-04-10 |
| 1467932574 | Stephanie Johanna Costello | Behavioral Analyst | 1801 Worthington Drive, Exton, PA 19341 | 2018-08-17 |
| 1831606870 | Mark Wieland | Counselor | 47 Marchwood Rd Ste 1-j1, Exton, PA 19341 | 2017-12-29 |
| 1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
| 1073039012 | Katelyn Price | Pharmacist | 141 West Lincoln Highway, Exton, PA 19341 | 2017-08-22 |
| 1205378502 | Brenda Bobko | Counselor | 526 Summercroft Drive, Exton, PA 19341 | 2016-11-17 |
| 1669846945 | Sue C Lischuk | Dietitian, Registered | 455 Concord Avenue, Exton, PA 19341 | 2015-11-24 |
| 1619357118 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 487 Lisa Lane, Exton, PA 19341 | 2015-06-01 |
| 1609262179 | Diane Mcquillen | Internal Medicine | 278 Eagleview Blvd # 2, Exton, PA 19341 | 2015-04-12 |
| Find all providers in zip 19341 | ||||
| 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 |
|---|---|---|---|---|
| 1508819996 | Amar N. Gulati, P.C. - Raytel Medical Imaging | Radiology | 470 John Young Way, Suite 100, Exton, PA 19341-2557 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359014 | Kimberly Ann Nulph-laseck | Radiology | 65 Market St, Albion, PA 16401-1131 | 2020-08-31 |
| 1407478878 | Bridget Podbielski | Radiology | 1301 Summit Dr, Royersford, PA 19468-2873 | 2020-05-08 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1518522770 | Michael Anthony Branco | Radiology | 340 Wellslee Dr, Chambersburg, PA 17201-8289 | 2019-05-03 |
| 1700369535 | Tower Health Medical Group | Radiology | 301 S 7th Ave Ste 135, West Reading, PA 19611-1442 | 2018-09-07 |
| 1841784899 | Kyle Rives | Radiology | 200 Lothrop Street Upmc Presbyterian, South Tower 2nd Floor Suite 200, Pittsburgh, PA 15213 | 2018-06-21 |
| 1285128892 | Solomon Amemasor | Radiology | 200 Lothrop St Ste 200, Pittsburgh, PA 15213-2536 | 2018-06-18 |
| 1326545898 | Lehigh Valley Hospital | Radiology | 320 W Pumping Station Rd Ste 2, Quakertown, PA 18951-2345 | 2018-04-10 |
| 1376054874 | Irad Services, Inc. | Radiology | 1811 Golden Mile Hwy Ste B, Pittsburgh, PA 15239-2847 | 2017-10-24 |
| 1639689482 | Anna Maria Polizio | Radiology | 496 Cherry Ct, Pittsburgh, PA 15237-2608 | 2017-10-06 |
| 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.