QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C. (NPI# 1336626696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336626696 |
| Entity Type | Organization |
| Organization Name | QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C. |
| Practice Address |
1625 Bear Creek Ln Unit O Petoskey MI 49770-8378 |
| Mailing Address |
Po Box 72012 Cleveland OH 44192-0002 |
| Practice Telephone | 5594554127 |
| Mailing Telephone | 8772134065 |
| Mailing Fax Number | 7706669102 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-11-09 |
| Authorized Official Name | FRANCIS FERRARO (CFO) |
| Authorized Official Telephone | 5594554127 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356827653 | Quantum Medical Radiology of California, P.C. | Radiology | 2700 Milton Ave, Dallas, TX 75205-1521 | 2018-07-19 |
| 1407332703 | Quantum Medical Radiology of California, P.C. | Radiology | 252 E Boca Raton Rd, Boca Raton, FL 33432-4063 | 2018-07-19 |
| 1043796543 | Quantum Medical Radiology of California, P.C. | Radiology | 374 W Seminary Ave, Wheaton, IL 60187-5002 | 2018-07-17 |
| 1609352194 | Quantum Medical Radiology of California, P.C. | Radiology | 10600 Dorchester St, Bakersfield, CA 93311-3595 | 2018-07-17 |
| 1013421866 | Quantum Medical Radiology of California, P.C. | Radiology | 14553 Cypress Point Ter, Valley Center, CA 92082-6671 | 2017-11-30 |
| 1083154827 | Quantum Medical Radiology of California, P.C. | Radiology | 1412 Sapphire Dr, Carlsbad, CA 92011-1200 | 2017-02-27 |
| 1699131730 | Quantum Medical Radiology of California, P.C. | Radiology | 5110 E Clinton Way, Fresno, CA 93727-2040 | 2016-01-05 |
| 1235500836 | Quantum Medical Radiology of California, P.C. | Radiology | 3 Arista Ct, Dix Hills, NY 11746-4908 | 2015-10-08 |
| 1043633829 | Quantum Medical Radiology of California, P.C. | Radiology | 138 Victoria Rd, Burlingame, CA 94010-2959 | 2014-01-29 |
| 1043722739 | Quantum Medical Radiology of California, P.C. | Radiology | 1810 Oceano Way, Davis, CA 95618-6768 | 2017-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C. | 3520 Piedmont Road, Ne, Suite 250, Atlanta, GA 30305 |
| New York State Corporations | QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, PC | 28 Liberty Street, New York, Ny 10005 |
| Street Address |
1625 BEAR CREEK LN UNIT O |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-8378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| 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 |
|---|---|---|---|---|
| 1578529178 | Stanley R Smith | Radiology | 330 E Mitchell St, #210, Petoskey, MI 49770-2671 | 2006-04-22 |
| 1073512687 | Michael A Angileri | Radiology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2005-07-15 |
| 1073950945 | Andrew Osetek | Radiology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2013-05-31 |
| 1467682971 | Kimberly Sue Johnson | Radiology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2009-07-17 |
| 1043446834 | Nel Rainier Go | Radiology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2009-06-07 |
| 1184843781 | Michael William Kuhn | Radiology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2007-04-24 |
| 1477604874 | Ryan R. Hoenicke | Radiology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2007-01-15 |
| 1497775514 | Bradley T Vanassche | Radiology | 1114 Charlevoix Ave, Petoskey, MI 49770-9701 | 2006-07-20 |
| 1811924160 | Matthew L Visconti Md LLC | Radiology | 1114 Charlevoix Ave, Petoskey, MI 49770-9701 | 2006-06-26 |
| 1306883202 | Matthew L Visconti | Radiology | 1114 Charlevoix Ave, Petoskey, MI 49770-9701 | 2006-05-31 |
| Find all providers in PETOSKEY | ||||
Please comment or provide details below to improve the information on QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C..
| 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.