ATLANTIC RADIOLOGY, LLC (NPI# 1386834406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386834406 |
Entity Type | Organization |
Organization Name | ATLANTIC RADIOLOGY, LLC |
Practice Address |
5601 Loch Raven Blvd Baltimore MD 21239-2905 |
Mailing Address |
6615 Reisterstown Rd Suite 305 Baltimore MD 21215-2686 |
Practice Telephone | 4107640912 |
Practice Fax Number | 4107640647 |
Mailing Telephone | 4107640912 |
Mailing Fax Number | 4107640647 |
Enumeration Date | 2007-07-25 |
Last Update Date | 2008-01-22 |
Authorized Official Name | MR. MICHAEL KORANGY (CFO) |
Authorized Official Telephone | 4107640912 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
Street Address |
5601 LOCH RAVEN BLVD |
City | BALTIMORE |
State | MD |
Zip Code | 21239-2905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316940588 | Paul Byron Fowler | Specialist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2005-05-23 |
1992328017 | Kaitlin Lee | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-05-22 |
1023646692 | Akiko Rockers | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-30 |
1578199519 | Erica Wilson | Pharmacist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-22 |
1154952497 | Kimberly Jo Jenko | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-27 |
1679103576 | Nerland Dimanche | Registered Nurse | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-20 |
1063058782 | Simcha Gratz | Nurse Practitioner | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-11-19 |
1548817737 | Christopher Burgess | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-08-22 |
1114571809 | Lauren Delmonico | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-30 |
1750943411 | Sana Tanveer Ahmed | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255809273 | Books of Color, LLC | Student in an Organized Health Care Education/Training Program | 1222 Walker Ave, Baltimore, MD 21239 | 2018-11-07 |
1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
1164940656 | Tarnisha Fitzgerald | Nurse Practitioner | 1601 East Belvedere Avenue, Baltimore, MD 21239 | 2017-09-05 |
1083153803 | J.pope & Associates, LLC | Counselor | 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 | 2017-02-13 |
1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
1730597766 | Ramona Taylor-knox | Counselor | 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 | 2014-07-22 |
1013259142 | Innovative Healing Solutions,llc | Social Worker | 1302 Silverthorne Rd, Baltimore, MD 21239 | 2013-03-27 |
1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
1164713350 | Vanessa G Brown | Pharmacist | 5618 The Alameda, Baltimore, MD 21239 | 2011-04-22 |
Find all providers in zip 21239 |
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 |
---|---|---|---|---|
1912978172 | Roy Laurence Moss | Radiology | 6605 Pebble Brooke Rd, Baltimore, MD 21209-3793 | 2006-01-27 |
1801263934 | Christopher Fung | Radiology | 601 N Caroline St, Baltimore, MD 21287-0006 | 2015-08-24 |
1811263122 | Manuel Soto-fournier | Radiology | 7253 Ambassador Rd, Baltimore, MD 21244 | 2012-03-30 |
1477849412 | Senayet Dereje Agonafer | Radiology | 3001 Hanover St, Department of Medicine, Baltimore, MD 21225-1233 | 2011-06-28 |
1639312275 | Cheng Ting Lin | Radiology | 601 N Caroline St, Jhoc 3142, Baltimore, MD 21287-0006 | 2009-04-13 |
1710120365 | Neil G Patel | Radiology | 1800 Orleans St, Baltimore, MD 21287-0010 | 2009-04-13 |
1699911578 | Pamela Tecce Johnson | Radiology | 601 N Caroline St, Room 3140d, Baltimore, MD 21287-0006 | 2008-12-26 |
1215127394 | United Radiology Services, LLC | Radiology | 6615 Reisterstown Rd, Suite 305, Baltimore, MD 21215-2686 | 2007-07-26 |
1053533703 | Shannon L Daniels | Radiology | 10 N Greene St, Baltimore, MD 21201-1524 | 2007-05-03 |
1841333465 | Franco Verde | Radiology | 22 S Greene St, Department of Radiology, Baltimore, MD 21201-1544 | 2007-02-14 |
Find all providers in BALTIMORE |
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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.