THREE RIVERS RADIOLOGY, LLC (NPI# 1306286513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306286513 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS RADIOLOGY, LLC |
| Practice Address |
6819 Lima Rd Suite 200 Fort Wayne IN 46818-1145 |
| Mailing Address |
Po Box 8712 Fort Wayne IN 46898-8712 |
| Practice Telephone | 2604076200 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |
| Authorized Official Name | MS. CAREY GROSS (PRESIDENT & TREASURER) |
| Authorized Official Telephone | 2604679716 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 99057753A | IN | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
99057753A | IN | Allopathic & Osteopathic Physicians |
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
99057753A | IN | Allopathic & Osteopathic Physicians |
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
99057753A | IN | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
99057753A | IN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
99057753A | IN | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
99057753A | IN | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
99057753A | IN | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
99057753A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
6819 LIMA RD SUITE 200 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46818-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841262714 | Chad Steven Christman | Family Medicine | 6819 Lima Rd, Fort Wayne, IN 46818-1145 | 2006-02-06 |
| 1851633069 | Iq Laboratories Inc | Clinical Medical Laboratory | 6819 Lima Rd, Fort Wayne, IN 46818-1145 | 2013-03-26 |
| 1427304567 | Inquest Health System, PC | Pharmacy | 6819 Lima Rd, Fort Wayne, IN 46818-1145 | 2012-07-26 |
| 1811206832 | Inquest Mri, LLC | Clinic/Center | 6819 Lima Rd, Fort Wayne, IN 46818-1145 | 2010-09-26 |
| 1972765097 | Zhengjun Liu | Specialist | 6819 Lima Rd, Fort Wayne, IN 46818-1145 | 2008-06-30 |
| 1528253226 | Sasikala Vemulapalli | Family Medicine | 6819 Lima Rd, Fort Wayne, IN 46818-1145 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| 1306196704 | Peter Yang Gaw Go | Occupational Therapist | 3406 Bluefield Place, Fort Wayne, IN 46818 | 2012-09-12 |
| 1043593536 | Carol Lynn Steinbach | Massage Therapist | 12101 Hand Rd., Fort Wayne, IN 46818 | 2011-09-21 |
| 1295058071 | Summit Nutrition Services, LLC | Dietitian, Registered | 3027 Mariposa Place, Fort Wayne, IN 46818 | 2010-03-08 |
| 1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
| 1285851121 | Angela Coleman | Dentist | 10505 Lima Road, Fort Wayne, IN 46818 | 2007-04-20 |
| 1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
| Find all providers in zip 46818 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
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|---|---|---|---|---|
| 1952772782 | Nuvena Vein Center, LLC | Radiology | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 | 2015-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306317565 | Donita Renee Morris | Radiology | 6910 N Oxford St, Indianapolis, IN 46220-2255 | 2018-12-16 |
| 1174099147 | Omnivas Nwi | Radiology | 8127 Merrillville Rd Ste 1, Merrillville, IN 46410-6306 | 2018-10-17 |
| 1669982492 | Us Access Care of Indianapolis, LLC | Radiology | 201 North Illinois St, 16th Floor - South Tower, Indianapolis, IN 46204-4618 | 2017-10-06 |
| 1487038360 | Beacon Medical Group, Inc. | Radiology | 233 Florence Ave, Granger, IN 46530-8048 | 2015-07-10 |
| 1396075982 | Ir Halum, LLC | Radiology | 5953 Calais Ct, Indianapolis, IN 46220-6004 | 2010-01-05 |
| 1952307480 | Joseph W Eke Jr. | Radiology | 711 S East St, Indianapolis, IN 46225-1317 | 2005-06-21 |
| 1053922849 | Ultrasonic Medical Specialists LLC | Radiology | 365 Conestoga Dr, Chesterton, IN 46304-1559 | 2020-08-13 |
| 1912522368 | Ng Medical Center LLC | Radiology | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2020-06-11 |
| 1487176004 | Modern Vascular and Vein Center LLC | Radiology | 951 Transport Dr, Valparaiso, IN 46383-8434 | 2017-07-14 |
| 1154856789 | Xrc Clinical Radiology, LLC | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2017-04-20 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46818 |
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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.