DIAGNOSTIC IMAGING CENTERS OF NEPA, LLC (NPI# 1356598817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356598817 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC IMAGING CENTERS OF NEPA, LLC |
| Other Organization Name | ADVANCED IMAGING SPECIALISTS |
| Practice Address |
1789 N Keyser Ave Scranton PA 18508-1250 |
| Mailing Address |
1000 Meade St Dunmore PA 18512 |
| Practice Telephone | 5705042500 |
| Practice Fax Number | 5705042599 |
| Mailing Telephone | 5705042519 |
| Mailing Fax Number | 5705042599 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |
| Authorized Official Name | MRS. LORI M BODNAR (BILLING SUPERVISOR) |
| Authorized Official Telephone | 5705042519 |
| Authorized Official Credential | R.C.C. |
| 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 |
|---|---|
| Advanced Imaging Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992945935 | Diagnostic Imaging Centers of Nepa, LLC | Radiology | 111 Hulst Dr, Ste 708, Matamoras, PA 18336-2115 | 2009-03-04 |
| 1366699829 | Diagnostic Imaging Centers of Nepa, LLC | Radiology | 102 N Abington Rd, Clarks Green, PA 18411-2300 | 2008-08-26 |
| Street Address |
1789 N KEYSER AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18508-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124080247 | Stephanie Anne Boyarsky | Family Medicine | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2006-04-04 |
| 1225466899 | Kristen Maritato | Physician Assistant | 1789 N Keyser Ave, Suite B, Scranton, PA 18508-1250 | 2013-10-17 |
| 1770928947 | Melissa Michelle Bertha | Family Medicine | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2013-05-01 |
| 1235480401 | Kathy Helen Kessler | Nurse Practitioner | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2012-09-27 |
| 1023259801 | Joseph Frank Leo | Internal Medicine | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2009-03-09 |
| 1538331095 | Vanessa Leigh White | Counselor | 1789 N Keyser Ave, Suite 9, Scranton, PA 18508-1250 | 2008-03-25 |
| 1952513111 | Judith Scott Severson | Nurse Practitioner | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2007-05-03 |
| 1578688362 | Marisa Siekierka | Internal Medicine | 1789 N Keyser Ave, Medical Associates of Nepa, Scranton, PA 18508 | 2007-03-20 |
| 1316098221 | William Mark Brown | Podiatrist | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2007-01-16 |
| 1871674028 | Andrew Brown's Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 1789 N Keyser Ave, Suite 2, Scranton, PA 18508-1250 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659843266 | Kelly Artmont | Massage Therapist | Northeastern Rehabilitation Associates, PC, 5 Morgan Highway Suite 4, Scranton, PA 18508 | 2018-12-20 |
| 1881163517 | Mindy Dobroski | Pharmacist | 589 Hamlin Hwy, Hamlin, PA 18508 | 2018-11-26 |
| 1417402249 | Express Urgent Care, LLC | Clinic/Center | 449 Scranton Carbondale Hwy, Dickson City, PA 18508 | 2016-08-22 |
| 1548644164 | Marie Domiano | Pharmacist | 201 Smallacombe Drive, Scranton, PA 18508 | 2015-07-14 |
| 1033511621 | Geisinger Clinic | Radiology | 5 Morgan Highway, Suite 7, Scranton, PA 18508 | 2014-09-25 |
| 1265833321 | Geisinger Clinic | Clinic/Center | 423 Scranton-carbondale Hwy, Scranton, PA 18508 | 2014-09-09 |
| 1659656924 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 100 Viewmont Mall, Space 844, Scranton, PA 18508 | 2011-10-18 |
| 1689851545 | Carol Ann C Perfilio Pamelia | Chiropractor | 1328 Providence Rd, Scranton, PA 18508 | 2008-01-23 |
| 1821282989 | Osti Klenz Inc | Durable Medical Equipment & Medical Supplies | 7 Viewmont Estates, Scranton, PA 18508 | 2007-08-31 |
| 1508072125 | Mary Jane Cosgrove | Optometrist | Lenscrafters Rt 6, Viewmont Mall, Scranton, PA 18508 | 2007-05-14 |
| Find all providers in zip 18508 | ||||
| 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 |
|---|---|---|---|---|
| 1033511621 | Geisinger Clinic | Radiology | 5 Morgan Highway, Suite 7, Scranton, PA 18508 | 2014-09-25 |
| 1225041536 | Jonathon C. Sullum | Radiology | 2601 Stafford Avenue, Scranton, PA 18505-0305 | 2006-08-15 |
| 1558340448 | Mark Skevofilax | Radiology | 435 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2006-01-10 |
| 1700865680 | Jeffrey T Blum | Radiology | 435 Scranton Carbondale Highway, Scranton, PA 18508 | 2006-01-10 |
| 1801875786 | Gerald Larar | Radiology | 435 Scranton-carbondale Highway, Scranton, PA 18508 | 2006-01-10 |
| 1962495374 | Charles N. Barax | Radiology | 613 N Webster Ave, Scranton, PA 18510-1808 | 2005-08-31 |
| 1477931582 | Charles S. Sutton, M.d.,p.c. | Radiology | 3 W Olive St, Suite 220, Scranton, PA 18508-2572 | 2015-05-08 |
| 1942602537 | Geisinger Clinic | Radiology | 475 Morgan Highway, Scranton, PA 18508 | 2014-09-25 |
| 1609283290 | Geisinger Clinic | Radiology | 435 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2014-07-16 |
| 1689093718 | Towhid Ali | Radiology | 1800 Mulberry St, Scranton, PA 18510-2369 | 2014-04-16 |
| Find all providers in SCRANTON | ||||
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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.