CENTRE DIAGNOSTIC IMAGING, PC (NPI# 1306841929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306841929 |
| Entity Type | Organization |
| Organization Name | CENTRE DIAGNOSTIC IMAGING, PC |
| Practice Address |
1800 E Park Ave State College PA 16803-6701 |
| Mailing Address |
Po Box 197 State College PA 16804-0197 |
| Practice Telephone | 8142346137 |
| Practice Fax Number | 8142346795 |
| Mailing Telephone | 8142351526 |
| Mailing Fax Number | 8142351566 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | DR. GREGORY ROSS WEIMER (PRESIDENT) |
| Authorized Official Telephone | 8142317000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001060003 | 05 |
| Street Address |
1800 E PARK AVE |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235756982 | Gary Whitaker | Nurse Anesthetist, Certified Registered | 1800 E Park Ave, State College, PA 16803-6701 | 2020-06-29 |
| 1366005225 | Lauren C. Hahn | Physician Assistant | 1800 E Park Ave, State College, PA 16803-6797 | 2019-04-17 |
| 1760954093 | Bryson Anderson | Nurse Anesthetist, Certified Registered | 1800 E Park Ave, State College, PA 16803-6709 | 2018-12-27 |
| 1518449644 | Chase B Cohron | Nurse Practitioner | 1800 E Park Ave, State College, PA 16803-6709 | 2018-09-05 |
| 1356856819 | Joeleen Marie Stocker | Dietitian, Registered | 1800 E Park Ave, Nutrition & Culinary Services, State College, PA 16803 | 2017-12-06 |
| 1417487257 | Robin Tuttle | Physician Assistant | 1800 E Park Ave, State College, PA 16803-6709 | 2017-06-14 |
| 1710415443 | Alissa Ann Franklin | Nurse Anesthetist, Certified Registered | 1800 E Park Ave, State College, PA 16803-6709 | 2017-05-25 |
| 1457885188 | Sarah A Guillard | Nurse Practitioner | 1800 E Park Ave, State College, PA 16803-6709 | 2017-04-19 |
| 1417496803 | Jill Martin | Physician Assistant | 1800 E Park Ave, State College, PA 16801-5602 | 2017-02-17 |
| 1356889562 | Heather Shura | Nurse Anesthetist, Certified Registered | 1800 E Park Ave, State College, PA 16803-6709 | 2017-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| 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 |
|---|---|---|---|---|
| 1528358595 | Paul Benjamin Stoddard | Radiology | 1800 E Park Ave, State College, PA 16803 | 2011-04-12 |
| 1508008921 | Anna C Hood | Radiology | 1850 E Park Ave, Suite 105, State College, PA 16803-6706 | 2009-03-31 |
| 1689882631 | Allison Leigh Ruzbarsky Yingling | Radiology | 1850 E Park Ave, Suite 105, State College, PA 16803-6706 | 2007-05-21 |
| 1952385916 | Maria T. Pettinger | Radiology | 611 University Dr, State College, PA 16801-6552 | 2005-12-02 |
| 1326021577 | Ari Reuben Geselowitz | Radiology | 1800 E Park Ave, State College, PA 16803-6701 | 2005-11-22 |
| 1861474264 | Paul Harold Steindorf | Radiology | 1800 E Park Ave, State College, PA 16803-6701 | 2005-11-19 |
| 1689656084 | Gregory Ross Weimer | Radiology | 1800 E Park Ave, State College, PA 16803-6701 | 2005-11-19 |
| 1922080761 | Mark Cyril Shears | Radiology | 1800 E Park Ave, State College, PA 16803-6701 | 2005-11-17 |
| 1093797821 | Mary Ellen Fisher | Radiology | 1800 E Park Ave, State College, PA 16803-6701 | 2005-11-17 |
| 1962484709 | Roger Alan Rockower | Radiology | 1800 E Park Ave, State College, PA 16803-6701 | 2005-11-17 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
Please comment or provide details below to improve the information on CENTRE 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.