ADVANCED RADIOLOGY OF GRAND ISLAND, PC (NPI# 1306881800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306881800 |
| Entity Type | Organization |
| Organization Name | ADVANCED RADIOLOGY OF GRAND ISLAND, PC |
| Practice Address |
730 N Diers Ave Grand Island NE 68803-4954 |
| Practice Telephone | 3083981344 |
| Practice Fax Number | 3083981346 |
| Mailing Telephone | 3083981344 |
| Mailing Fax Number | 3083981346 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | JOHN L ALLEN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3083981344 |
| Authorized Official Credential | MD |
| 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 |
|---|---|---|---|
| NE | 10025333200 | 05 | |
| NE | RAILROAD MEDICARE | DE0658 | 01 |
| Street Address |
730 N DIERS AVE |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-4954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871573956 | John Louis Allen | Radiology | 730 N Diers Ave, Grand Island, NE 68803-4954 | 2006-01-17 |
| 1760644918 | Kyle M Pfeifer | Radiology | 730 N Diers Ave, Grand Island, NE 68803-4954 | 2008-06-30 |
| 1871674242 | Kelly I Hohlen | Physician Assistant | 730 N Diers Ave, Grand Island, NE 68803-4954 | 2006-10-18 |
| 1548375801 | Midwest Imaging LLC | Clinic/Center | 730 N Diers Ave, Grand Island, NE 68803-4954 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| 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 |
|---|---|---|---|---|
| 1134165509 | Daniel Eugene Novinski | Radiology | 3610 Richmond Cir Ste 100, Grand Island, NE 68803-3910 | 2006-06-22 |
| 1427094341 | Grand Island Imaging Center LLC | Radiology | 3610 Richmond Cir Ste 110, Grand Island, NE 68803-3910 | 2006-06-20 |
| 1871573956 | John Louis Allen | Radiology | 730 N Diers Ave, Grand Island, NE 68803-4954 | 2006-01-17 |
| 1578707113 | Cody L Evans | Radiology | 3610 Richmond Cir Ste 100, Grand Island, NE 68803-3910 | 2009-04-27 |
| 1861682643 | Marcus S Kirkpatrick | Radiology | 3610 Richmond Cir Ste 100, Grand Island, NE 68803-3910 | 2007-07-27 |
| 1053344861 | Tamara Sue Hlavaty | Radiology | 3610 Richmond Cir Ste 100, Grand Island, NE 68803-3910 | 2006-07-08 |
| 1346279973 | Max Andrew Stevens | Radiology | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2006-07-03 |
| 1932137593 | Heartland Imaging Specialists LLC | Radiology | 3610 Richmond Cir, Grand Island, NE 68803-3927 | 2006-06-30 |
| 1285662825 | Stephan Kermit Woodman | Radiology | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2006-06-30 |
| 1467480657 | William Robert Marsh | Radiology | 3610 Richmond Cir Ste 100, Grand Island, NE 68803-3910 | 2006-06-28 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
Please comment or provide details below to improve the information on ADVANCED RADIOLOGY OF GRAND ISLAND, 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.