PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER, LLC (NPI# 1346604295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346604295 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER, LLC |
| Other Organization Name | MEDSTAR RADIOLOGY NETWORK AT BRANDYWINE |
| Practice Address |
13950 Bradywine Road Brandywine MD 20613 |
| Mailing Address |
840 Crescent Centre Dr Suite 200 Franklin TN 37067-4626 |
| Practice Telephone | 3012095700 |
| Mailing Telephone | 6152612306 |
| Mailing Fax Number | 6155506004 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | MARK W MEGINNIS (CFO) |
| Authorized Official Telephone | 4105404429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MedStar Radiology Network at Brandywine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083281 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 5530 Wisconsin Ave Ste 1010, Chevy Chase, MD 20815-4324 | 2020-11-02 |
| 1588204614 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 3301 New Mexico Ave Nw Ste 324, Washington, DC 20016-3613 | 2020-01-07 |
| 1144677741 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 1120 20th St Nw, Washington, DC 20036-3406 | 2016-05-24 |
| 1790211811 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 2118 Greenspring Dr, Suite 100, Timonium, MD 21093 | 2017-05-10 |
| 1700246022 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 12 Medstar Blvd, Bel Air, MD 21015-1798 | 2016-02-29 |
| Street Address |
13950 BRADYWINE ROAD |
| City | BRANDYWINE |
| State | MD |
| Zip Code | 20613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689176018 | Joseph Delonte Snider | Social Worker | 15912 Crain Hwy Ste B174, Brandywine, MD 20613 | 2018-03-01 |
| 1881104065 | Ally Infusion, LLC | Clinic/Center | 7651 Matapeake Bus Dr Ste 103, Brandywine, MD 20613 | 2017-10-02 |
| 1619418001 | Delante Mckinnon | Home Health Aide | 13306 Craine Hwy, Brandywine, MD 20613 | 2017-03-17 |
| 1053779116 | Medstar Surgery Center At Brandywine, LLC | Clinic/Center | 13950 Brandywine Road, Suite 100, Brandywine, MD 20613 | 2016-02-04 |
| 1649654948 | Innersense Behavioral Health, Inc. | Counselor | 13508 Stoney Creek Lane, Brandywine, MD 20613 | 2015-07-16 |
| 1043588817 | Neibauer Dental Care, PC | Dentist | 7651 Matapeake Business Drive Suite 106, Brandywine, MD 20613 | 2011-12-08 |
| 1376829804 | Danielle Lasure-bryant | Counselor | 11600 Cedarville Road, Brandywine, MD 20613 | 2011-10-28 |
| 1164664405 | Adenike Olayinka Gbenle | Dentist | 7450 Clymer Dr, Brandywine, MD 20613 | 2009-04-01 |
| 1841466919 | Communit Support System 'css LLC'. | Home Health | 6307 Brechib Dr, Brandywine, MD 20613 | 2008-05-07 |
| 1942473186 | Derrick Jerod Johnson | Audiologist | 7601 Matapeake Business Drive, Brandywine, MD 20613 | 2008-04-09 |
| Find all providers in zip 20613 | ||||
| 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 |
|---|---|---|---|---|
| 1295965762 | Dmitry Y Goldin | Radiology | 7704 Matapeake Business Dr Ste 130, Brandywine, MD 20613-3049 | 2009-07-20 |
| 1659864775 | Capitol Vascular and Oncology Institute, LLC | Radiology | 7704 Matapeake Business Dr Ste 130, Brandywine, MD 20613 | 2018-06-13 |
| 1336452036 | Hyun J Bang | Radiology | 7704 Matapeake Business Dr Ste 130, Brandywine, MD 20613-3048 | 2010-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083281 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 5530 Wisconsin Ave Ste 1010, Chevy Chase, MD 20815-4324 | 2020-11-02 |
| 1326648346 | Physician Imaging of Washington Hospital Center LLC | Radiology | 3202 Tower Oaks Blvd Ste 120, Rockville, MD 20852-4263 | 2020-10-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1841703410 | Los Robles Radiologic Associates | Radiology | 7903 Terrapin Ct, Pikesville, MD 21208-3126 | 2017-11-06 |
| 1861905432 | Los Robles Radiologic Associates | Radiology | 9712 W Bexhill Dr, Kensington, MD 20895-3530 | 2017-11-06 |
| 1467993386 | Iv Radiology Medical Group | Radiology | 10000 Town Center Ave, Apt 244, Columbia, MD 21044-5418 | 2017-03-10 |
| 1962854166 | Michael Louis Sherman | Radiology | 11304 John Carroll Rd, Owings Mills, MD 21117-1658 | 2016-07-12 |
| 1700253473 | Peter Choyke | Radiology | Molecular Imaging Program Nci, Building 10, Room B3b69f, Bethesda, MD 20892-0001 | 2015-08-28 |
| 1235510983 | David Jinkyu Lee | Radiology | 601 N Caroline St # 3251, Baltimore, MD 21287-0006 | 2015-06-17 |
| 1639556467 | Samarth Gola | Radiology | 601 N Caroline St Ofc 3014, Baltimore, MD 21287-0006 | 2015-04-30 |
| Find all providers with the same taxonomy | ||||
| City | BRANDYWINE |
| Zip Code | 20613 |
Please comment or provide details below to improve the information on PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER, LLC.
| 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.