ROBERTO DYREYES (NPI# 1346284056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346284056 |
Entity Type | Individual |
Full Name | ROBERTO DYREYES |
Credential | M.D. |
Practice Address |
Fourth and Walnut Streets Radiology Department Lebanon PA 17042 |
Mailing Address |
1001 Briggs Rd Suite 210 Mount Laurel NJ 08054-4100 |
Practice Telephone | 7172707642 |
Practice Fax Number | 7172727069 |
Mailing Telephone | 8562314774 |
Mailing Fax Number | 8562319699 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2085B0100X |
Radiology Specialization: Body Imaging |
MD032088L | PA | Allopathic & Osteopathic Physicians |
X | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD032088L | PA | Allopathic & Osteopathic Physicians |
X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
MD032088L | PA | Allopathic & Osteopathic Physicians |
X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD032088L | PA | Allopathic & Osteopathic Physicians |
X | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD032088L | PA | Allopathic & Osteopathic Physicians |
X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
MD032088L | PA | Allopathic & Osteopathic Physicians |
Street Address |
FOURTH AND WALNUT STREETS RADIOLOGY DEPARTMENT |
City | LEBANON |
State | PA |
Zip Code | 17042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205881018 | Juan C. Blas-boria | Radiology | Fourth and Walnut Streets, Radiology Department, Lebanon, PA 17042 | 2006-05-23 |
1205902343 | The Good Samaritan Hospital | Clinic/Center | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-28 |
1801969589 | Karen K Bachman | Dietitian, Registered | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-17 |
1346329232 | The Good Samaritan Hospital | Emergency Medicine | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-03 |
1922186089 | Judith A Laubenstein | Registered Nurse | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-02 |
1609953751 | The Good Samaritan Hospital | Radiology | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-01 |
1609952761 | The Good Samaritan Hospital | Internal Medicine | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-10-31 |
1396821211 | Gayle K Hoffman | Dietitian, Registered | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-10-31 |
1477639300 | Theresa M Gogets | Dietitian, Registered | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-10-31 |
1598773962 | Cardiovascular Surgical Associates of Lebanon, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-08-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
Find all providers in zip 17042 |
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 |
---|---|---|---|---|
1205881018 | Juan C. Blas-boria | Radiology | Fourth and Walnut Streets, Radiology Department, Lebanon, PA 17042 | 2006-05-23 |
1053345652 | Lebanon Imaging Associates, PC | Radiology | Fourth and Walnut Streets, Attn: Radiology Department, Lebanon, PA 17042 | 2006-07-10 |
1922062793 | Vincent D Caruana | Radiology | 10 Alice Peck Day Dr, Dartmouth Hitchcock - Radiology, Lebanon, NH 03766 | 2006-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255976460 | George Vukmer | Radiology | 16889 State Highway 86, Saegertown, PA 16433-6226 | 2019-11-12 |
1174088074 | Savvas Andronikou | Radiology | 3401 Civic Center Blvd Dept 3nw41, Philadelphia, PA 19104-4319 | 2019-02-05 |
1629411194 | Gary Andrew Dellacerra | Radiology | 132 S 10th St Fl 10, Philadelphia, PA 19107 | 2013-04-15 |
1295001188 | Lawrence Chisom Uradu | Radiology | 200 Lothrop St Ste E204, Pittsburgh, PA 15213-2536 | 2012-03-26 |
1124320890 | Rosalma Saade | Radiology | 29 Sleepy Hollow Dr, Newtown Square, PA 19073-3929 | 2010-11-30 |
1902965452 | Heesun Nina Kim | Radiology | 705 Augusta Dr, Bridgeville, PA 15017-3437 | 2006-12-08 |
1467525717 | Montgomery Radiology Associates, PC | Radiology | 705 Old Harrisburg Rd, Gettysburg, PA 17325-3401 | 2006-11-16 |
1174628952 | Harold P. Strunk | Radiology | 1013 Regency Cir, Penllyn, PA 19422-1036 | 2006-09-14 |
1194836221 | Amy K Lansman | Radiology | 1919 Walnut St, Philadelphia, PA 19103-4609 | 2006-08-31 |
1144233859 | Montgomery Radiology Associates, PC | Radiology | 1505 Route 61 Hwy S, Pottsville, PA 17901-8486 | 2006-08-14 |
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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.