DR. MICHAEL G RADLEY (NPI# 1275553620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275553620 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL G RADLEY |
| Credential | M.D. |
| Practice Address |
17 Western Maryland Pkwy Hagerstown MD 21740-5146 |
| Mailing Address |
20310 Cottonwood Dr Hagerstown MD 21742-4020 |
| Practice Telephone | 3017979240 |
| Practice Fax Number | 3017974119 |
| Mailing Telephone | 3017334232 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | D0045936 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 140005761 | 01 | |
| MD | 597381300 | 05 | |
| MD | MD BLUE SHIELD TRADITIONA | 53220504 | 01 |
| MD | MD BLUE SHIELD REGIONAL | W2660003 | 01 |
| PA | PA BLUE SHIELD PA LOC | 966246 | 01 |
| PA | PA BLUE SHIELD MD LOC | 436164 | 01 |
| Street Address |
17 WESTERN MARYLAND PKWY |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601068 | Stuart Jack Goodman | Psychiatry & Neurology | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2005-07-05 |
| 1982256111 | Tia Marie Finzel | Physician Assistant | 17 Western Maryland Pkwy, Hagerstown, MD 21740-5471 | 2019-07-09 |
| 1174074116 | Kristen Kivlen | Physician Assistant | 17 Western Maryland Pkwy, Suite 102, Hagerstown, MD 21740-5471 | 2016-10-14 |
| 1134519606 | Stephanie Hamrick | Physician Assistant | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2015-02-04 |
| 1316336449 | Collina Afriyie | Physician Assistant | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2015-01-13 |
| 1801225057 | John Christopher De Luna | Physical Therapist | 17 Western Maryland Pkwy, Hagerstown, MD 21740-5471 | 2013-11-08 |
| 1144453879 | Andrea N Stone | Physical Therapist | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2009-08-28 |
| 1366690281 | Parkway Neuroscience and Spine Institute, LLC | Physical Therapist | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2008-09-04 |
| 1356512792 | Grace Mooney | Neurological Surgery | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2008-03-13 |
| 1073710158 | Aaron Robert Probst | Physician Assistant | 17 Western Maryland Pkwy, Ste 100, Hagerstown, MD 21740-5146 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821445438 | Parkway Brain & Spine Inc. | Neurological Surgery | 13 Western Maryland Pkwy, Suite 106, Hagerstown, MD 21740-6474 | 2016-05-24 |
| 1356512792 | Grace Mooney | Neurological Surgery | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2008-03-13 |
| 1285654632 | John R Caruso | Neurological Surgery | 17 Western Maryland Pkwy, Hagerstown, MD 21740-5146 | 2006-07-20 |
| 1457371809 | Brian Holmes | Neurological Surgery | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2006-07-20 |
| 1225055858 | Neil P O'malley | Neurological Surgery | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659852945 | Anne Arundel Brain and Spine, LLC | Neurological Surgery | 1630 Main St Ste 213, Chester, MD 21619-2793 | 2018-08-24 |
| 1477033421 | Mercedez Freeman | Neurological Surgery | 4940 Eastern Ave Ste 2100, Baltimore, MD 21224-2735 | 2018-08-20 |
| 1417460619 | Proactive Pain and Neurology, LLC | Neurological Surgery | 921 Seton Dr Ste F&g, Cumberland, MD 21502-1852 | 2017-11-09 |
| 1609252766 | Frederick Hambrecht | Neurological Surgery | 14015 Manorvale Rd, Rockville, MD 20853-2519 | 2015-07-30 |
| 1952714370 | Narayanan Neurosurgery Services | Neurological Surgery | 4501 Pinetree Ave, Rockville, MD 20853 | 2014-06-03 |
| 1982030847 | Calvin B Early | Neurological Surgery | 9311 Ball Rd, Ijamsville, MD 21754-9537 | 2013-09-23 |
| 1801233101 | Hansen Bow | Neurological Surgery | 501 St. Paul Street, Apt. 805, Baltimore, MD 21202 | 2013-05-28 |
| 1972946689 | David P Mcmullen | Neurological Surgery | 1800 Orleans Street, Mailstop 6007, Johns Hopkins Hospital Department of Neurosurgery, Baltimore, MD 21287-0001 | 2013-04-11 |
| 1710229224 | Christopher Mitchell Jackson | Neurological Surgery | 600 N Wolfe St Tower 110, The Johns Hopkins Hospital, Baltimore, MD 21287-2109 | 2013-03-22 |
| 1326384173 | Bernard Earl Finneson | Neurological Surgery | 491 Cormorant Ct, Chestertown, MD 21620-1244 | 2012-12-26 |
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| City | HAGERSTOWN |
| Zip Code | 21740 |
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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.