CAMELLIA IMAGING LLC (NPI# 1316495997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316495997 |
| Entity Type | Organization |
| Organization Name | CAMELLIA IMAGING LLC |
| Practice Address |
2068 Valleydale Rd Hoover AL 35244-2092 |
| Practice Telephone | 2055442828 |
| Practice Fax Number | 2052670192 |
| Mailing Telephone | 2055442828 |
| Mailing Fax Number | 2057831208 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | MONIKA TATARIA (PRESIDENT) |
| Authorized Official Telephone | 2055442828 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD.30928 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1750597670 | 01 |
| Street Address |
2068 VALLEYDALE RD |
| City | HOOVER |
| State | AL |
| Zip Code | 35244-2092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588794796 | The Lighthouse Pain Clinic, PC | Pain Medicine | 2068 Valleydale Rd, Hoover, AL 35244-2006 | 2007-03-06 |
| 1851716179 | Emily Ivey | Naturopath | 2068 Valleydale Rd, Suite K, Hoover, AL 35244-2006 | 2014-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| 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 |
|---|---|---|---|---|
| 1558720953 | Brookwood Baptist Imaging, LLC | Radiology | 7131 Cahaba Valley Rd. Suite 101, Hoover, AL 35242 | 2016-02-15 |
| 1801107065 | Kelly Todd Bradley | Radiology | 3528 William and Mary Rd, Hoover, AL 35216-5319 | 2010-06-23 |
| 1295893287 | Aprile Brown Gibson | Radiology | 4737 Mcgill Ct, Hoover, AL 35226-6001 | 2006-12-04 |
| 1174513360 | Medscan, LLC | Radiology | 1550 Montgomery Hwy, Suite L, Hoover, AL 35216-4582 | 2005-10-27 |
| 1235423930 | Lister Healthcare Corporation | Radiology | 430 Emery Dr, Hoover, AL 35244-4587 | 2011-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190256 | Charles M Thorn | Radiology | 204 Debbie Dr, Deatsville, AL 36022-2567 | 2020-10-08 |
| 1184264152 | Locus Center, LLC | Radiology | 3064 Lorna Rd Ste E, Vestavia Hills, AL 35216-4529 | 2020-01-08 |
| 1497241756 | Anurag Chahal | Radiology | Department of Radiology 619 19th Street South, Birmingham, AL 35249-0001 | 2018-07-10 |
| 1427595511 | Lemak Sports Medicine LLC | Radiology | 2215 Decatur Hwy Ste 117, Gardendale, AL 35071-2384 | 2017-01-26 |
| 1346782307 | Birmingham Physicians Radiology Pllc | Radiology | 3425 Colonnade Pkwy, Birmingham, AL 35243-2356 | 2016-11-08 |
| 1255799847 | Central Alabama Diagnostics LLC | Radiology | 2715 Legends Pkwy, Prattville, AL 36066-7755 | 2016-02-10 |
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1528445145 | Dothan Diagnostic Imaging Radiology, Pllc | Radiology | 217 Graceland Dr Ste 4, Dothan, AL 36305-7376 | 2015-05-04 |
| 1194111245 | Darrel Alexander Ceballos | Radiology | 619 19th Street South Jt N382, Birmingham, AL 35294-2238 | 2015-04-15 |
| 1154716603 | Shane Joseph | Radiology | 2451 Fillingim St # 315, Mobile, AL 36617-2238 | 2015-04-01 |
| Find all providers with the same taxonomy | ||||
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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.