JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC (NPI# 1275718561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275718561 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC |
| Other Organization Name | JEFFERSON OUTPATIENT IMAGING |
| Practice Address |
170 N Henderson Rd Suites 103 & 104 King of Prussia PA 19406-2155 |
| Mailing Address |
840 Crescent Centre Dr Suite 200 Franklin TN 37067-4626 |
| Practice Telephone | 6107681000 |
| Practice Fax Number | 6155506004 |
| Mailing Telephone | 6155506009 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2010-02-02 |
| Authorized Official Name | MR. FRANK R KYLE (CHIEF MANAGER) |
| Authorized Official Telephone | 6155506009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jefferson Outpatient Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678352 | Jefferson University Radiology Associates, LLC | Radiology | 243 Hurffville Crosskeys Rd, Sewell, NJ 08080-4011 | 2020-01-07 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1902114168 | Jefferson University Radiology Associates, LLC | Physiological Laboratory | 1 W Germantown Pike, East Norriton, PA 19401-1513 | 2010-09-21 |
| 1710492764 | Jefferson University Radiology Associates, LLC | Radiology | 650 Carnegie Boulevard, Malvern, PA 19355-1935 | 2017-12-12 |
| 1104376797 | Jefferson University Radiology Associates, LLC | Radiology | 9601 Bustleton Ave, Philadelphia, PA 19115-3810 | 2016-10-07 |
| 1083907364 | Jefferson University Radiology Associates, LLC | Radiology | 1 W Germantown Pike, East Norriton, PA 19401-1513 | 2011-05-19 |
| 1144559444 | Jefferson University Radiology Associates, LLC | Radiology | 470 John Young Way, Suite #100, Exton, PA 19341-2557 | 2009-12-15 |
| Street Address |
170 N HENDERSON RD SUITES 103 & 104 |
| City | KING OF PRUSSIA |
| State | PA |
| Zip Code | 19406-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529101 | Mehul N Shah | Internal Medicine | 170 N Henderson Rd, Ste 302, King of Prussia, PA 19406-2155 | 2005-06-23 |
| 1235484395 | Patricia Ashley Slater | Physical Therapist | 170 N Henderson Rd, Suite 100, King of Prussia, PA 19406-2155 | 2012-07-16 |
| 1023314861 | Michael Dolber St. George | Physical Therapist | 170 N Henderson Rd, Suite 100, King of Prussia, PA 19406-2155 | 2011-01-26 |
| 1760719983 | Margaret Kavetski Toth | Clinical Nurse Specialist | 170 N Henderson Rd, Suite 306, King of Prussia, PA 19406-2155 | 2009-11-09 |
| 1013145408 | Vascular Medicine Center | Internal Medicine | 170 N Henderson Rd, Suite 302, King of Prussia, PA 19406-2155 | 2009-06-24 |
| 1255577029 | Maureen P Palmer | Physical Therapist | 170 N Henderson Rd, Suite 102, King of Prussia, PA 19406-2155 | 2008-12-29 |
| 1245419803 | Christina L Beaulieu Biele | Physical Therapist | 170 N Henderson Rd, Suite 300, King of Prussia, PA 19406-2155 | 2007-10-31 |
| 1164620118 | Colleen S Ohara | Physical Therapist | 170 N Henderson Rd, King of Prussia, PA 19406-2155 | 2007-07-10 |
| 1346364981 | Marathon Physical Therapy, PC | Clinic/Center | 170 N Henderson Rd, Suite 102, King of Prussia, PA 19406-2155 | 2007-03-19 |
| 1487787800 | A. David Frank | Physical Therapist | 170 N Henderson Rd, Suite 102, King of Prussia, PA 19406-2155 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887296 | Optical World Nj Corp | Optometrist | Optical World, 160 N. Gulph Rd King of Prussia Plaza Suite #2377, King of Prussia, PA 19406 | 2019-12-10 |
| 1194213694 | Compass Recovery Center | Clinic/Center | 901 E 8th Ave Ste 203, King of Prussia, PA 19406 | 2018-04-30 |
| 1154858520 | Recovery Centers of America At Ventnor Nj Medicaid Only | Clinic/Center | 2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406 | 2017-05-17 |
| 1568913192 | Luke Gillespie | Counselor | 680 American Avenue, Suite 320, King of Prussia, PA 19406 | 2016-10-19 |
| 1932652906 | Bayada Home Health Care, Inc. | Home Health | 700 American Ave Ste 103, King of Prussia, PA 19406 | 2016-07-26 |
| 1912357690 | Barsha Moktan | Dentist | 357 S Gulph Road, #110, King of Prussia, PA 19406 | 2016-06-14 |
| 1588057756 | National Counseling Group, Inc | Counselor | 1150 1st Avenue, #501, King of Prussia, PA 19406 | 2015-03-12 |
| 1184020174 | Dr. Jeanvickey Lusk, M.d. & Co. P.C. | Family Medicine | 315 Gypsy Lane, King of Prussia, PA 19406 | 2014-11-18 |
| 1912303033 | Masuma Bahora | Obstetrics & Gynecology | 210 Mall Blvd Ste 220, King of Prussia, PA 19406 | 2014-11-17 |
| 1942612486 | Delphi Medical Group | Durable Medical Equipment & Medical Supplies | 1600 First Avenue Ste 400, King of Prussia, PA 19406 | 2014-06-02 |
| Find all providers in zip 19406 | ||||
| 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 |
|---|---|---|---|---|
| 1750374161 | Burton Marks | Radiology | 563 Prince Frederick St, King of Prussia, PA 19406-1846 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359014 | Kimberly Ann Nulph-laseck | Radiology | 65 Market St, Albion, PA 16401-1131 | 2020-08-31 |
| 1407478878 | Bridget Podbielski | Radiology | 1301 Summit Dr, Royersford, PA 19468-2873 | 2020-05-08 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1518522770 | Michael Anthony Branco | Radiology | 340 Wellslee Dr, Chambersburg, PA 17201-8289 | 2019-05-03 |
| 1700369535 | Tower Health Medical Group | Radiology | 301 S 7th Ave Ste 135, West Reading, PA 19611-1442 | 2018-09-07 |
| 1841784899 | Kyle Rives | Radiology | 200 Lothrop Street Upmc Presbyterian, South Tower 2nd Floor Suite 200, Pittsburgh, PA 15213 | 2018-06-21 |
| 1285128892 | Solomon Amemasor | Radiology | 200 Lothrop St Ste 200, Pittsburgh, PA 15213-2536 | 2018-06-18 |
| 1326545898 | Lehigh Valley Hospital | Radiology | 320 W Pumping Station Rd Ste 2, Quakertown, PA 18951-2345 | 2018-04-10 |
| 1376054874 | Irad Services, Inc. | Radiology | 1811 Golden Mile Hwy Ste B, Pittsburgh, PA 15239-2847 | 2017-10-24 |
| 1639689482 | Anna Maria Polizio | Radiology | 496 Cherry Ct, Pittsburgh, PA 15237-2608 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
| City | KING OF PRUSSIA |
| Zip Code | 19406 |
Please comment or provide details below to improve the information on JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC.
| 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.