EASTWICK RADIOLOGY ASSOCS. (NPI# 1154424026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154424026 |
| Entity Type | Organization |
| Organization Name | EASTWICK RADIOLOGY ASSOCS. |
| Other Organization Name | MERCY FITZGERALD HOSPITAL OUTPATIENT |
| Practice Address |
501 South 54th Street Mercy Fitzgerald Outpatient Center Darby PA 19023 |
| Mailing Address |
501 South 54th St. Darby PA 19023-1330 |
| Practice Telephone | 6102372525 |
| Mailing Telephone | 6102372525 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | MR. JOSEPH H. BRADLEY (CFO) |
| Authorized Official Telephone | 6105676771 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | PA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE ID TYPE UNSPECIFIED | 39S156 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Fitzgerald Hospital Outpatient | Doing Business As Name - Organization |
| Street Address |
501 SOUTH 54TH STREET MERCY FITZGERALD OUTPATIENT CENTER |
| City | DARBY |
| State | PA |
| Zip Code | 19023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113348 | Ibrahim Abdulkadir Ahmed | Student in an Organized Health Care Education/Training Program | Mercy Catholic Medical Center, 1500 Lansdowne Avenue, Darby, PA 19023 | 2020-07-31 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1003476813 | Nicole Tomkowich | Student in an Organized Health Care Education/Training Program | 500 Lansdowne Avenue, Darby, PA 19023 | 2019-06-14 |
| 1497220131 | Margaret Kathleen Halloran | Nurse Practitioner | 1501 Lansdowne Ave Mob, 1st Floor, Darby, PA 19023 | 2018-10-09 |
| 1427428705 | Peter Goanue | Counselor | 207 North 2nd Street, Darby, PA 19023 | 2015-09-30 |
| 1518363696 | Trucompanion Transportation Service | Non-emergency Medical Transport (VAN) | 100 N 6th Street Apt 2, Darby, PA 19023 | 2014-11-17 |
| 1366872269 | Chirman Beatty | Licensed Practical Nurse | 400 S. 5th St Apt A9, Darby, PA 19023 | 2013-11-14 |
| 1639514151 | Advanced Nursing Care Inc | Nursing Care | 217 Clifton Avenue, Suite # 8, Collingdale, PA 19023 | 2013-05-10 |
| 1114277191 | Ayesha Farooq | Dentist | 14 Macdave Blvd, Gentle Dental, Collingdale, PA 19023 | 2012-09-17 |
| 1366736787 | Gi Medical Associates | Internal Medicine | 320 Macdade Blvd., Collingdale, PA 19023 | 2011-06-02 |
| Find all providers in zip 19023 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669803961 | Camy Pathak | Radiologic Technologist | 829 Avon Rd, Philadelphia, PA 19116-3433 | 2013-12-12 |
| 1053747840 | Gary Donald Walters II | Radiologic Technologist | 2013 Manada St, Harrisburg, PA 17104-2952 | 2013-09-24 |
| 1902126626 | Katherine Russin | Radiologic Technologist | 2002 Denning Way, North Versailles, PA 15137-2657 | 2010-06-03 |
| 1043536170 | Victoria Lee Herman | Radiologic Technologist | Rr 1 Box 69a, Granville Smt, PA 16926-9748 | 2010-04-14 |
| 1972990786 | Elizabeth Hayes | Radiologic Technologist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2015-04-20 |
| 1114213097 | Brianna Leigh Wilkins | Radiologic Technologist | 1200 Old York Rd, Abington, PA 19001-3720 | 2011-06-20 |
| 1508005315 | Jacqueline Louise Schultz-shirey | Radiologic Technologist | 1350 Broadcasting Rd, Suite 201, Wyomissing, PA 19610-3229 | 2009-02-18 |
| 1336396183 | Tina L Killmer | Radiologic Technologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2008-08-23 |
| 1083765739 | Physiciancare PC | Radiologic Technologist | 71 Hospital Dr, Towanda, PA 18848-9702 | 2007-01-16 |
| 1346357399 | 7622 Medical Center, Inc. | Radiologic Technologist | 7622 Ogontz Ave, Philadelphia, PA 19150-1817 | 2006-08-24 |
| 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.