MOUNTAINEER RADIOLOGISTS INC (NPI# 1154320869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154320869 |
| Entity Type | Organization |
| Organization Name | MOUNTAINEER RADIOLOGISTS INC |
| Practice Address |
1306 Kanawha Blvd E Building 2 Charleston WV 25301-3000 |
| Mailing Address |
Po Box 1111 Charleston WV 25324-1111 |
| Practice Telephone | 3049511588 |
| Mailing Telephone | 3049511588 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2015-07-16 |
| Authorized Official Name | THOMAS ZEKAN (PRESIDENT) |
| Authorized Official Telephone | 3049511588 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810002431 | 05 | |
| VA | 1154320869 | 05 | |
| WV | 3810006507 | 05 | |
| WV | BCBS | 001711957 | 01 |
| WV | 3810006508 | 05 |
| Street Address |
1306 KANAWHA BLVD E BUILDING 2 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285131144 | Charleston Surgical Hospital Healthcare Group, Pllc | Surgery | 1306 Kanawha Blvd E, Charleston, WV 25301-3000 | 2018-04-09 |
| 1649780768 | Anthony Gray | Registered Nurse | 1306 Kanawha Blvd E, Charleston, WV 25301 | 2017-10-03 |
| 1871961110 | Belu Nunley | Physical Therapist | 1306 Kanawha Blvd E, Charleston, WV 25301-3000 | 2015-09-03 |
| 1932506102 | Susan Arbogast | Physical Therapist | 1306 Kanawha Blvd E, Charleston, WV 25301-3000 | 2014-12-03 |
| 1588084909 | Cory Frame | Registered Nurse | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2014-04-24 |
| 1659795136 | Michelle Webb | Technician/Technologist | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2014-02-05 |
| 1073854543 | Envision Optical LLC | Eyewear Supplier (Equipment, not the service) | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2013-03-08 |
| 1588896336 | Leeann Johnson | General Acute Care Hospital | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2009-08-12 |
| 1518169663 | Richard Mcmaster Francis Jr. | Ophthalmology | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2007-06-01 |
| 1104904143 | Eye & Ear Clinic of Charleston Inc | General Acute Care Hospital | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| 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 |
|---|---|---|---|---|
| 1194275941 | Florida United Radiology, Lc | Radiology | 7 Pear Tree Ct, Charleston, IL 61920-4415 | 2016-10-05 |
| 1245687540 | John Frederick Hughes | Radiology | 96 Jonathan Lucas St # 323, Charleston, SC 29425-3230 | 2016-05-17 |
| 1386030021 | Shawn Hobby | Radiology | 96 Jonathan Lucas St Charleston Sc 29425, Charleston, SC 29425-0001 | 2015-04-09 |
| 1962601096 | James A. Thesing D.o. P.C. | Radiology | 295 Seven Farms Dr., Ste C-103, Charleston, SC 29492 | 2007-07-18 |
| 1730387622 | Courtney Stewart | Radiology | 96 Jonathan Lucas, Msc 32, Musc, Department of Radiology, Charleston, SC 29425-3230 | 2007-07-03 |
| 1275753576 | Mountaineer Imaging Center | Radiology | 60 R H L Blvd, Charleston, WV 25309-8278 | 2007-04-27 |
| 1285711671 | Jared Mills | Radiology | 1028 Jamsie Cove Dr, Charleston, SC 29412-4965 | 2006-11-01 |
| 1114000882 | Darryl Randolph Pauls | Radiology | 261 Ashley Ave, Suite 100, Charleston, SC 29425-8908 | 2006-10-24 |
| 1790869311 | Joshua L. Sherwin | Radiology | 484 King St Ste 205, Charleston, SC 29403-6229 | 2006-10-24 |
| 1700895562 | Rand J Cuthbertson | Radiology | 474 King St Ste 205, Charleston, SC 29403 | 2006-08-07 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
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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.