MRI PHYSICIAN ASSOCIATES, PC (NPI# 1366501637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366501637 |
Entity Type | Organization |
Organization Name | MRI PHYSICIAN ASSOCIATES, PC |
Practice Address |
2451 Grant Ave Philadelphia PA 19114-1031 |
Practice Telephone | 2154648050 |
Practice Fax Number | 2156735767 |
Mailing Telephone | 2154648050 |
Mailing Fax Number | 2156735767 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2011-02-21 |
Authorized Official Name | DR. JAIME LOUIS CHECKOFF (MEDICAL DIRECTOR) |
Authorized Official Telephone | 2154648050 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | HIGHMARK BLUE SHIELD | 035757 | 01 |
PA | INDEPENDENCE BLUE CROSS | 0345430000 | 01 |
PA | AETNA PPO | 5123334 | 01 |
RAILROAD MEDICARE | CN1450 | 01 |
Street Address |
2451 GRANT AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19114-1031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679522957 | Herman W. Palat | Family Medicine | 2451 Grant Ave, Suite 1b, Philadelphia, PA 19114-1004 | 2006-05-06 |
1548722002 | Jefferson Acute Care Physicians, PC | Clinic/Center | 2451 Grant Ave, Philadelphia, PA 19114-1031 | 2019-04-03 |
1912033093 | Aria Health Physician Services | Internal Medicine | 2451 Grant Ave, Suite 1a, Philadelphia, PA 19114-1004 | 2007-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
Find all providers in zip 19114 |
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 |
---|---|---|---|---|
1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
1033649975 | Dinh-huy Do Nguyen | Radiology | 5501 Old York Rd Ste 363, Philadelphia, PA 19141-3018 | 2017-06-13 |
1467809418 | Jeffrey Burgess | Radiology | 1215 Spruce St Apt 201, Philadelphia, PA 19107-5620 | 2016-05-19 |
1649632399 | Myron Blumberg | Radiology | 317 S 22nd St, Philadelphia, PA 19103-6528 | 2016-03-22 |
1144633074 | Daniel Robert Wahl | Radiology | 3400 Spruce Street - 1 Silverstein, Department of Radiology / Abdominal Imaging, Philadelphia, PA 19104 | 2014-06-09 |
1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
1831454867 | Ryan Michael Bonshock | Radiology | 4220 Market St Fl 2, Philadelphia, PA 19104-3007 | 2012-07-05 |
1730498601 | Robert A Perkins Jr. | Radiology | 132 S 10th St Ste 1099j, Philadelphia, PA 19107-5244 | 2010-09-27 |
1457677007 | Michael Richard Acord | Radiology | 3401 Civic Blvd, Division of Radiology, Philadelphia, PA 19104 | 2010-04-07 |
1780918375 | Mollie Mcginley | Radiology | 1835 Arch St, Apartment 305, Philadelphia, PA 19103-2712 | 2009-09-29 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19114 |
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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.