CHESAPEAKE MEDICAL IMAGING (NPI# 1194998484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194998484 |
| Entity Type | Organization |
| Organization Name | CHESAPEAKE MEDICAL IMAGING |
| Other Organization Name | CHESAPEAKE OPEN MRI |
| Practice Address |
108 Forbes St Annapolis MD 21401-1502 |
| Practice Telephone | 4102688862 |
| Mailing Telephone | 4102688862 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | MARK D BAGANZ (PRESIDENT) |
| Authorized Official Telephone | 4105710350 |
| Authorized Official Credential | M.D. |
| 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 |
|---|---|---|---|
| DC | BLUE SHIELD | F855 | 01 |
| MD | BLUE SHIELD | LX26CH | 01 |
| Other Name | Type Code |
|---|---|
| Chesapeake Open MRI | Doing Business As Name - Organization |
| Street Address |
108 FORBES ST |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617625 | Orthopaedic and Sports Medicine Center LLC | Orthopaedic Surgery | 108 Forbes St, Annapolis, MD 21401-1502 | 2005-05-27 |
| 1952962052 | Greenbelt Dme LLC | Durable Medical Equipment & Medical Supplies | 108 Forbes St, Annapolis, MD 21401-1502 | 2019-06-28 |
| 1477792604 | Irene Gek-hia Irby | Nurse Practitioner | 108 Forbes St, Second Floor, Annapolis, MD 21401-1502 | 2009-02-11 |
| 1174780886 | Orthopaedic and Sports Medicine Center LLC | Durable Medical Equipment & Medical Supplies | 108 Forbes St, Annapolis, MD 21401-1502 | 2008-05-20 |
| 1801086160 | Melissa Lambiasi | Physical Therapist | 108 Forbes St, Annapolis, MD 21401-1502 | 2007-08-01 |
| 1275663056 | Marshall K Steele IIi | Orthopaedic Surgery | 108 Forbes St, Annapolis, MD 21401-1502 | 2007-03-07 |
| 1346383031 | Darshana Purohit | Internal Medicine | 108 Forbes St, Second Floor, Annapolis, MD 21401-1502 | 2007-02-14 |
| 1669413076 | Ilana Helene Cohen | Internal Medicine | 108 Forbes St, Second Floor, Annapolis, MD 21401-1502 | 2006-06-08 |
| 1043285059 | Feven Tesfai Abraha | Physical Therapist | 108 Forbes St, Annapolis, MD 21401-1502 | 2006-02-22 |
| 1558331074 | Annapolis Endocrinology Associates LLC | Internal Medicine | 108 Forbes St, Second Floor, Annapolis, MD 21401-1502 | 2006-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| 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 |
|---|---|---|---|---|
| 1093706251 | Thomas B. Lank | Radiology | 122 Defense Hwy, Chesapeake Medical Imaging, Annapolis, MD 21401-7069 | 2005-11-04 |
| 1477078053 | Fmca Pa | Radiology | 2562 Hidden Cove Rd, Annapolis, MD 21401-6815 | 2017-08-04 |
| 1164961744 | Chesapeake Open Mri LLC | Radiology | 600 Ridgely Ave, Suite 100, Annapolis, MD 21401-1001 | 2017-02-16 |
| 1598027633 | Jasleen Chopra | Radiology | 2002 Medical Pkwy Ste 235, Annapolis, MD 21401-3260 | 2012-06-14 |
| 1396076642 | Chesapeake Open Mri LLC | Radiology | 122 Defense Hwy, Annapolis, MD 21401-7069 | 2010-01-27 |
| 1598927063 | Marit Connor Duffy | Radiology | 2002 Medical Pkwy Ste 235, Annapolis, MD 21401-3260 | 2008-06-26 |
| 1437320454 | Chesapeake Open Mri | Radiology | 122 Defense Hwy, Annapolis, MD 21401-7069 | 2008-03-18 |
| 1578768024 | Christopher Patrick Myers | Radiology | 2002 Medical Pkwy Ste 235, Annapolis, MD 21401-3260 | 2007-06-15 |
| 1932314507 | Ketan Nalin Naran | Radiology | 122 Defense Hwy, Chesapeake Medical Imaging, Annapolis, MD 21401-7069 | 2007-05-14 |
| 1326171760 | Amy E Sarina | Radiology | 2002 Medical Pkwy, Suite 235, Annapolis, MD 21401-3046 | 2007-03-14 |
| Find all providers in ANNAPOLIS | ||||
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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.