ADVANCED DIAGNOSTIC IMAGING PC (NPI# 1275672800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275672800 |
| Entity Type | Organization |
| Organization Name | ADVANCED DIAGNOSTIC IMAGING PC |
| Other Organization Name | ADVANCED DIAGNOSTIC IMAGING WEST |
| Practice Address |
319 N Saint Joseph Ave Evansville IN 47712-5562 |
| Mailing Address |
1120 Professional Blvd Evansville IN 47714-8000 |
| Practice Telephone | 8124239702 |
| Mailing Telephone | 8124717086 |
| Mailing Fax Number | 8124713381 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DIANA L. FORD (GENERAL MANAGER) |
| Authorized Official Telephone | 8124717086 |
| 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 |
|---|---|---|---|
| IN | 200181650A | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Diagnostic Imaging West | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623638 | Advanced Diagnostic Imaging PC | Podiatrist | 179 Hancock St Ste 300, Gallatin, TN 37066-6347 | 2020-03-12 |
| 1235278961 | Advanced Diagnostic Imaging PC | Radiology | 328 N 2nd St Ste 101, Vincennes, IN 47591-1353 | 2007-02-06 |
| 1881198802 | Advanced Diagnostic Imaging PC | Durable Medical Equipment & Medical Supplies | 300 20th Ave N Ste 103, Nashville, TN 37203-2132 | 2018-03-23 |
| 1821592841 | Advanced Diagnostic Imaging PC | Durable Medical Equipment & Medical Supplies | 300 Stonecrest Blvd Ste 230, Smyrna, TN 37167-6800 | 2018-03-23 |
| 1639673965 | Advanced Diagnostic Imaging PC | Prosthetic/Orthotic Supplier | 204 Medical Dr, Lafayette, TN 37083-1719 | 2018-03-21 |
| 1811350135 | Advanced Diagnostic Imaging PC | Pharmacy | 28 White Bridge Rd, Ste. 211a, Nashville, TN 37205-1499 | 2016-04-04 |
| 1528438975 | Advanced Diagnostic Imaging PC | Prosthetic/Orthotic Supplier | 739 President Pl, Suite 220, Smyrna, TN 37167-6844 | 2015-09-29 |
| 1457721821 | Advanced Diagnostic Imaging PC | Prosthetic/Orthotic Supplier | 393 Wallace Rd, Suite A-204, Nashville, TN 37211-4880 | 2015-09-29 |
| 1497125850 | Advanced Diagnostic Imaging PC | Prosthetic/Orthotic Supplier | 1608 Williams Dr, Suite 300, Murfreesboro, TN 37129-3194 | 2015-09-29 |
| 1710360706 | Advanced Diagnostic Imaging PC | Durable Medical Equipment & Medical Supplies | 980 Professional Park Dr, Suite A, Clarksville, TN 37040-5251 | 2015-07-08 |
| Street Address |
319 N SAINT JOSEPH AVE |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47712-5562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
| 1609363852 | Megan Ann Armstrong | Nurse Practitioner | 100 S Rosenberger Ave Ste B400, Evansville, IN 47712 | 2018-04-13 |
| 1063894848 | Mobile Podiatry of Indiana | Podiatrist | 4501 Upper Mt Vernon Rd, Evansville, IN 47712 | 2015-06-29 |
| 1255755807 | Laura Walker | Social Worker | 2700 W. Indiana St, Evansville, IN 47712 | 2014-02-18 |
| 1437486594 | Kristin Jane Behme | Physical Therapist | 1501-1701 Mcdowell Rd, Evansville, IN 47712 | 2009-11-11 |
| 1528223054 | Anil Kumar Reddy Manda | Dentist | 5020 West Lloyd Expwy, Ste 200, Evansville, IN 47712 | 2008-07-24 |
| 1720285778 | Abby Dawn Clinard | Physical Therapy Assistant | Westpark Rehabilitation Center, 25 S Boehne Camp Road, Evansville, IN 47712 | 2007-07-02 |
| 1487855920 | Melissa A Singer | Nurse Practitioner | 1520 Weston Rd., Evansville, IN 47712 | 2007-05-31 |
| 1144312133 | R Bacon Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2309 W Franklin St, Evansville, IN 47712 | 2006-09-28 |
| 1710091541 | Shannon R Jones | Psychiatry & Neurology | 1 North Barker Avenue, Evansville, IN 47712 | 2006-08-18 |
| Find all providers in zip 47712 | ||||
| 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 |
|---|---|---|---|---|
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1972522126 | Advanced Diagnostic Imaging, PC | Radiology | 1120 Professional Blvd, Evansville, IN 47714-8000 | 2006-07-19 |
| 1023070208 | Thomas M. Harmon | Radiology | 6225 E Columbia St, Evansville, IN 47715-4003 | 2006-04-04 |
| 1629414420 | Pavel Morozov | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710-1782 | 2013-05-20 |
| 1679869010 | Arich Ryan Reynolds | Radiology | 3700 Washington Ave, Evansville, IN 47714 | 2011-06-23 |
| 1457687261 | Advanced Radiology Services | Radiology | 1120 Professional Blvd, Evansville, IN 47714-8000 | 2009-10-29 |
| 1932341591 | Leonid Drozhinin | Radiology | 3700 Washington Ave, Evansville, IN 47714-0541 | 2009-03-29 |
| 1932386984 | Mark Adam Hubbard | Radiology | 350 W Columbia St, Suite 420, Evansville, IN 47710-1782 | 2008-01-22 |
| 1811108244 | Craig Albert Triola | Radiology | 350 W Columbia St, Ste 420, Evansville, IN 47710-1782 | 2007-05-25 |
| 1275747883 | Gateway Imaging LLC | Radiology | 611 Harriet St, Suite 103, Evansville, IN 47710-1781 | 2007-05-10 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47712 |
Please comment or provide details below to improve the information on ADVANCED DIAGNOSTIC IMAGING PC.
| 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.