MARINUS C NDIKUM (NPI# 1285655282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285655282 |
Entity Type | Individual |
Full Name | MARINUS C NDIKUM |
Credential | DO |
Practice Address |
201 State Street Hamot Radiology Erie PA 16550 |
Mailing Address |
717 State St Suite 16 Ll Erie PA 16501 |
Practice Telephone | 8148776000 |
Practice Fax Number | 8148776149 |
Mailing Telephone | 8144807100 |
Mailing Fax Number | 8144807604 |
Enumeration Date | 2006-07-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OS012214 | PA | Allopathic & Osteopathic Physicians |
Street Address |
201 STATE STREET HAMOT RADIOLOGY |
City | ERIE |
State | PA |
Zip Code | 16550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912903253 | Mahmoud I Ismail | Internal Medicine | 201 State Street, Hamot Faculty Specialists, Erie, PA 16550-0002 | 2005-06-22 |
1063032233 | Anthony Robert Unger | Student in an Organized Health Care Education/Training Program | 201 State Street, Erie, PA 16550 | 2020-04-17 |
1245869494 | Michael Knoll | Student in an Organized Health Care Education/Training Program | 201 State Street, Erie, PA 16550 | 2020-04-08 |
1326525502 | Leonardo Zingg | Student in an Organized Health Care Education/Training Program | 201 State Street, Erie, PA 16550 | 2018-07-20 |
1700332434 | Erica S Racedo | Physician Assistant | 201 State Street, Erie, PA 16550 | 2016-09-01 |
1780046953 | Katelyn Fuller | Registered Nurse | 201 State Street, Erie, PA 16550 | 2016-03-25 |
1982016663 | Vanessa Alia Emdadi Banks | Emergency Medicine | 201 State Street, Upmc Hamot, Erie, PA 16550 | 2014-05-29 |
1114289600 | Eric Robert Wildauer | Anesthesiology | 201 State Street, Hamot Medical Center, Erie, PA 16550 | 2012-06-12 |
1508185760 | Levi Colter Black | Nurse Anesthetist, Certified Registered | 201 State Street, Erie, PA 16550 | 2010-05-26 |
1588981724 | Janet Elaine Friedman | Nurse Anesthetist, Certified Registered | 201 State Street, Erie, PA 16550 | 2010-04-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396208070 | Jackson Joseph Bell | Student in an Organized Health Care Education/Training Program | Upmc Hamot, 201 State Street, Erie, PA 16550 | 2019-04-10 |
1023505005 | Carter Mccance Denne | Student in an Organized Health Care Education/Training Program | Upmc Hamot 201 State Street, Erie, PA 16550 | 2018-04-16 |
1790771087 | Claire A Huebner | Nurse Anesthetist, Certified Registered | Upmc Hamot Medical Center 201 State St, Erie, PA 16550 | 2005-09-22 |
1679065106 | Jacob Tuttle | Nurse Anesthetist, Certified Registered | 201 State St, Erie, PA 16550 | 2018-05-31 |
1851882385 | Osvaldo Luis Martinez | Student in an Organized Health Care Education/Training Program | 201 State St, Erie, PA 16550 | 2018-05-21 |
1003306945 | Shannon R Folga | Registered Nurse | 201 State St, Erie, PA 16550 | 2018-05-16 |
1982194809 | Sara Elizabeth Wojciechowski | Registered Nurse | 201 State St, Erie, PA 16550 | 2018-05-16 |
1639610991 | Casey Seizys | Emergency Medicine | 201 State St, Erie, PA 16550 | 2017-03-19 |
1902281934 | Durga Sindhuri Dandu | Internal Medicine | 201 State St, Erie, PA 16550 | 2015-07-20 |
1942698097 | Yujin Zhao | Nurse Anesthetist, Certified Registered | 201 State St, Hamot Medical Center, Erie, PA 16550 | 2014-12-23 |
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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 |
---|---|---|---|---|
1194746974 | Robert S Kamenski | Radiology | 300 State St Ste 108, Erie, PA 16507-1427 | 2006-07-21 |
1497702294 | Ob-gyn Associates of Erie, PC | Radiology | 100 Peach St Ste 300, Erie, PA 16507-1423 | 2006-05-27 |
1407846702 | Carol Ann Lyons | Radiology | 104 East 2nd St, 5th Floor, Erie, PA 16507 | 2005-10-27 |
1306849757 | Richard S. Kocan | Radiology | 201 State St, Erie, PA 16550-0002 | 2005-05-31 |
1033112545 | Clinical Associates In Radiology Inc | Radiology | 232 W 25th St, Erie, PA 16544-0002 | 2005-05-31 |
1033559711 | Zachariah D Kuchta | Radiology | 300 State St Ste 108, Erie, PA 16507-1427 | 2013-06-26 |
1053687251 | Margaret Elizabeth Glenn | Radiology | 300 State St Ste 108, Erie, PA 16507-1427 | 2012-04-02 |
1760708259 | Andres Hernan Pena | Radiology | 201 State St, Erie, PA 16550-0002 | 2010-04-09 |
1043473036 | Rachel Anne Lagos | Radiology | 201 State St, Erie, PA 16550-2421 | 2008-07-09 |
1295992931 | Regional Health Services, Inc. | Radiology | 104 East 2nd Street, 5th Floor, Erie, PA 16507-1532 | 2008-05-20 |
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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.