S E RADIOLOGY ASSOCIATES PC (NPI# 1326078668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326078668 |
| Entity Type | Organization |
| Organization Name | S E RADIOLOGY ASSOCIATES PC |
| Practice Address |
33155 Annapolis Way Wayne MI 48184-2405 |
| Mailing Address |
4000 2nd St Wayne MI 48184-1715 |
| Practice Telephone | 7343265030 |
| Mailing Telephone | 7343265030 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | DR. ASHOK B JAIN (PRESIDENT) |
| Authorized Official Telephone | 7343265030 |
| 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 |
|---|---|---|---|
| MI | CAPE HEALTH PLAN | 000000003836 | 01 |
| MI | CARE CHOICES | 107851 | 01 |
| MI | PREFERRED CHOICES | 107851 | 01 |
| MI | FEDERAL BLACK LUNG | 275144 | 01 |
| MI | M-CARE | RA820036 | 01 |
| MI | HEALTHPLUS OF MI | 3S27618 | 01 |
| MI | BLUE CARE NETWORK | 0H27893 | 01 |
| MI | HEALTHPLUS OF MI | 2R27618 | 01 |
| MI | MIDWEST HEALTH PLAN | 008149 | 01 |
| MI | BLUE CROSS BLUE SHIELD MI | 0H27893 | 01 |
| MI | PRIORITY HEALTH | 7668 | 01 |
| MI | RAILROAD MEDICARE | CE4307 | 01 |
| MI | HEALTH ALLIANCE PLAN | O26194 | 01 |
| MI | FEDERAL BLACK LUNG | 26538 | 01 |
| MI | COMMUNITY CHOICE MI | 29711 | 01 |
| Street Address |
33155 ANNAPOLIS WAY |
| City | WAYNE |
| State | MI |
| Zip Code | 48184-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
| 1669902433 | Randi Oswald | Massage Therapist | 34336 Richard St., Wayne, MI 48184 | 2017-06-14 |
| 1306393822 | Amanda Anastasoff | Technician, Other | 35640 West Michigan Avenue, Wayne, MI 48184 | 2016-09-01 |
| 1871941302 | Christopher Schrimscher | Technician, Other | 34560 Michigan Avenue W, Wayne, MI 48184 | 2016-05-25 |
| 1659757334 | Anna Bondy | Technician, Other | 35640 Michigan Ave. West, Wayne, MI 48184 | 2015-08-05 |
| 1992184550 | Carrie Walrath | Community Health Worker | 4234 Niagara, Wayne, MI 48184 | 2015-05-28 |
| 1588043459 | Suzanne Cutlip | Case Manager/Care Coordinator | 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 | 2015-05-26 |
| 1285021295 | Alicia Allen | Technician, Other | 35640 Michigan Avenue West, Wayne, MI 48184 | 2015-04-17 |
| 1164843850 | Julia Krivoy | Nurse Anesthetist, Certified Registered | 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 | 2013-12-23 |
| 1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
| Find all providers in zip 48184 | ||||
| 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 |
|---|---|---|---|---|
| 1902080443 | Richard B. Keohane | Radiology | 20 Fariston Rd, Wayne, PA 19087-3415 | 2007-12-19 |
| 1366500530 | Vita Medical Center, PC | Radiology | 87 Berdan Ave Ste 2b, Wayne, NJ 07470-3210 | 2006-12-04 |
| 1205872694 | Douglas Joseph Gardner | Radiology | 4491 Venoy Rd, Wayne, MI 48184-2530 | 2006-06-22 |
| 1871578930 | Faith Ann Farley | Radiology | 201 S Aberdeen Ave, Wayne, PA 19087-4801 | 2005-12-13 |
| 1710971791 | Imaging Associates Pa | Radiology | 1350 Rte 23, Mrimaging of Wayne, Wayne, NJ 07470-5839 | 2005-09-07 |
| 1740599042 | Dwf Imaging LLC | Radiology | 87 Berdan Ave, Suite 2b, Wayne, NJ 07470-3210 | 2010-10-04 |
| 1881847192 | Wayne Valley Imaging | Radiology | 504 Valley Rd, Wayne, NJ 07470-3534 | 2008-10-30 |
| 1164607040 | Se Radiology Associates, PC | Radiology | 4491 Venoy Rd, Wayne, MI 48184-2530 | 2008-01-09 |
| 1922169929 | High Mountain Radiology | Radiology | 468 Parish Dr, Suite 6, Wayne, NJ 07470-4671 | 2006-12-13 |
| 1124111364 | Jin Young Hur | Radiology | 330 Ratzer Road, Wayne, NJ 07470 | 2006-10-02 |
| Find all providers in WAYNE | ||||
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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.