PETER KANISTROS (NPI# 1386641454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386641454 |
Entity Type | Individual |
Full Name | PETER KANISTROS |
Credential | MD |
Practice Address |
4983 Delhi Ave Suite 6 Cincinnati OH 45238-5380 |
Mailing Address |
1331 N Elm St Suite 200 Greensboro NC 27401-6302 |
Practice Telephone | 5133477237 |
Practice Fax Number | 5133476567 |
Mailing Telephone | 3362749617 |
Mailing Fax Number | 3364822177 |
Enumeration Date | 2005-07-05 |
Last Update Date | 2016-03-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
35072703 | OH | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35072707K | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200938470 | 05 | |
OH | 2034622 | 05 |
Street Address |
4983 DELHI AVE SUITE 6 |
City | CINCINNATI |
State | OH |
Zip Code | 45238-5380 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649217688 | Ted A Kleimeyer | Radiology | 4983 Delhi Ave, Suite 6, Cincinnati, OH 45238-5380 | 2006-05-31 |
1396746236 | Scott T Welton | Radiology | 4983 Delhi Ave, Suite 6, Cincinnati, OH 45238-5380 | 2005-08-02 |
1912908849 | Millennium Radiology Inc | Radiology | 4983 Delhi Ave, Suite 6, Cincinnati, OH 45238-5380 | 2005-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
1811335961 | Kelly G Mirus | Specialist/Technologist | 5161 Ralph Ave, Cincinnati, OH 45238 | 2013-06-11 |
Find all providers in zip 45238 |
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 |
---|---|---|---|---|
1770995854 | Proscan Womens Imaging At Redbank LLC | Radiology | 11594 Springfield Pike, Suite 26, Cincinnati, OH 45246-3527 | 2014-05-23 |
1598024705 | Professional Imaging & Teleradiology Services | Radiology | 9886 Humphrey Rd, Cincinnati, OH 45242-5445 | 2012-05-08 |
1275777435 | Judith Karlen Stein | Radiology | 2211 Grandin Rd, Cincinnati, OH 45208-3307 | 2009-04-30 |
1609052000 | Sean K Johnston | Radiology | 234 Goodman, Dept. of Radiology, Cincinnati, OH 45219 | 2008-01-15 |
1538370838 | Matthew Fox | Radiology | 7672 Montgomery Rd # 237, Cincinnati, OH 45236-4204 | 2007-05-25 |
1083637706 | James Kevin Hackett | Radiology | 2943 Eastern Ave, Cincinnati, OH 45226-1066 | 2006-07-25 |
1477586493 | Kenneth N Hehman Md & Wm A Bramlage Md Inc | Radiology | 7800 E Kemper Rd, Suite 150, Cincinnati, OH 45249-1664 | 2006-07-10 |
1336179308 | Deerfield Medical Imaging | Radiology | 9311 Mason Montgomery Road, Suite 102, Cincinnati, OH 45040 | 2006-07-04 |
1083667588 | Stanley B Ignatow | Radiology | 546 Woodbrook Ln, Cincinnati, OH 45215-2513 | 2006-05-18 |
1649223223 | Cincinnati Medical Imaging | Radiology | 8154 Montgomery Rd, Suite 102, Cincinnati, OH 45236-2968 | 2006-05-18 |
Find all providers in CINCINNATI |
City | CINCINNATI |
Zip Code | 45238 |
Please comment or provide details below to improve the information on PETER KANISTROS.
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.