PHOEBE RADIOLOGY ASSOCIATES (NPI# 1336353911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336353911 |
| Entity Type | Organization |
| Organization Name | PHOEBE RADIOLOGY ASSOCIATES |
| Practice Address |
417 3rd Ave Albany GA 31701-1960 |
| Mailing Address |
P O Box 1828 Albany GA 31702-1828 |
| Practice Telephone | 7066531088 |
| Practice Fax Number | 7066531162 |
| Mailing Telephone | 7066531088 |
| Mailing Fax Number | 7066531162 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SURESH LAKHANPAL (PRESIDENT) |
| Authorized Official Telephone | 7066531088 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085B0100X |
Radiology Specialization: Body Imaging |
========= | GA | Allopathic & Osteopathic Physicians |
| X | 2085N0700X |
Radiology Specialization: Neuroradiology |
========= | GA | Allopathic & Osteopathic Physicians |
| X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
========= | GA | Allopathic & Osteopathic Physicians |
| X | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
========= | GA | Allopathic & Osteopathic Physicians |
| X | 2085R0001X |
Radiology Specialization: Radiation Oncology |
========= | GA | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
========= | GA | Allopathic & Osteopathic Physicians |
| X | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
========= | GA | Allopathic & Osteopathic Physicians |
| X | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
========= | GA | Allopathic & Osteopathic Physicians |
| X | 2085R0205X |
Radiology Specialization: Radiological Physics |
========= | GA | Allopathic & Osteopathic Physicians |
| X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
========= | GA | Allopathic & Osteopathic Physicians |
| Street Address |
417 3RD AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114021847 | Phoebe Putney Memorial Hospital, Inc | Durable Medical Equipment & Medical Supplies | 417 3rd Ave, Albany, GA 31702-1828 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972876340 | Paul D Rodrigue | Radiology | 47 New Scotland Ave Ofc, Albany, NY 12208-3412 | 2012-02-16 |
| 1710147210 | Phoebe Radiology | Radiology | 417 W 3rd Ave, Albany, GA 31701-1943 | 2008-06-10 |
| 1407902091 | Kirsten K. Cestaro | Radiology | 315 S Manning Blvd, Medical Imaging Department, Albany, NY 12208-1707 | 2007-01-26 |
| 1528130044 | Michael A Aquadro | Radiology | 2000 Palmyra Rd, Palmyra Medical Center, Albany, GA 31701 | 2006-11-14 |
| 1609806520 | Albany Medical Center Hospital | Radiology | 43 New Scotland Ave, Mail Code 113, Albany, NY 12208 | 2006-07-04 |
| 1669408332 | Albany Medical Center South Clinical Campus | Radiology | 25 Hackett Blvd, Mail Code 113, Albany, NY 12208-3420 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770022360 | First Look Mri, LLC | Radiology | 1980 Friendship Rd, Suite 102, Hoschton, GA 30548-4154 | 2017-02-16 |
| 1235462235 | Gerald Eugene Caplan | Radiology | 1 Pickett Cir, Savannah, GA 31405-5622 | 2009-09-09 |
| 1487887766 | Justin Wilson Mcclain | Radiology | 1364 Clifton Rd Ne Ste D-112, Atlanta, GA 30322-1059 | 2009-09-02 |
| 1205075041 | Sunit Sebastian | Radiology | 1231 Clairmont Rd Apt 26c, Decatur, GA 30030-1242 | 2009-02-18 |
| 1669693768 | Raghava A Bhaskaran | Radiology | 606 Academy Ave, Dublin, GA 31021-5253 | 2007-05-02 |
| 1053497826 | Rockdale Diagnostics, LLC | Radiology | 1700 Honey Creek Commons Se, Conyers, GA 30013-5826 | 2006-10-27 |
| 1013099001 | Jagadishwar Devkota | Radiology | 20 Winged Foot Dr, Augusta, GA 30907-9140 | 2006-10-19 |
| 1235224346 | Southern Radiology Services | Radiology | 606 Academy Avenue, Dublin, GA 31021 | 2006-10-04 |
| 1952419012 | South Georgia Radiology Consultants, PC | Radiology | 5843 Deosta Dr, Lake Park, GA 31636-3405 | 2006-08-29 |
| 1265540561 | Timothy Thomas Ramsey Jr. | Radiology | 2905 Premiere Pkwy, Ste 310, Duluth, GA 30097-5247 | 2006-08-27 |
| 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.