ICS RADIOLOGY, INC. (NPI# 1396089090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396089090 |
| Entity Type | Organization |
| Organization Name | ICS RADIOLOGY, INC. |
| Practice Address |
4600 Spotsylvania Pkwy Fredericksburg VA 22408-7762 |
| Mailing Address |
Po Box 452095 Sunrise FL 33345-2095 |
| Practice Telephone | 5404984000 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | GILBERT L DROZDOW (PRESIDENT) |
| Authorized Official Telephone | 9548382371 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225372907 | Ics Radiology, Inc. | Radiology | 411 Sweet Bay Ave, Plantation, FL 33324-8228 | 2012-11-19 |
| 1447509773 | Ics Radiology, Inc. | Radiology | 5000 West Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2012-08-31 |
| 1063760288 | Ics Radiology, Inc. | Radiology | 345 Jupiter Lakes Blvd Ste 100, Jupiter, FL 33458-7100 | 2012-08-20 |
| 1184088833 | Ics Radiology, Inc. | Radiology | 3020 Ne 32nd Ave, Apt 910, Fort Lauderdale, FL 33308-7221 | 2016-04-08 |
| 1558792002 | Ics Radiology, Inc. | Radiology | 2001 W 68th St, Hialeah, FL 33016-1801 | 2013-12-10 |
| 1104268580 | Ics Radiology, Inc. | Radiology | 901 Village Blvd Ste 702, West Palm Beach, FL 33409-1947 | 2013-07-25 |
| 1841534310 | Ics Radiology, Inc. | Radiology | 1619 Harrison Pkwy, Suite D2, Sunrise, FL 33323-2856 | 2012-11-21 |
| 1114261898 | Ics Radiology, Inc. | Radiology | 50 S Pointe Dr, Suite 503, Miami Beach, FL 33139-4767 | 2012-11-19 |
| 1508100298 | Ics Radiology, Inc. | Radiology | 1100 Nw 95th St, Miami, FL 33150-2038 | 2012-11-19 |
| 1336483106 | Ics Radiology, Inc. | Radiology | 3200 N Ocean Blvd, Suite 802, Fort Lauderdale, FL 33308-7152 | 2012-11-19 |
| Street Address |
4600 SPOTSYLVANIA PKWY |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-7762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275524530 | Helen Bellar | Anesthesiology | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2005-11-04 |
| 1356979538 | Michael Callahan | Physician Assistant | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2020-04-01 |
| 1255983821 | Ashley Blair Mccuen | Nurse Practitioner | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2019-07-12 |
| 1417413022 | Kierstin Rainey | Physician Assistant | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2019-02-19 |
| 1336613223 | Kathy Yolanda Mosley | Specialist/Technologist, Other | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2019-01-14 |
| 1306331285 | Lauren Riley | Nurse Practitioner | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2018-06-24 |
| 1922518877 | Anesthesia Physician Solutions of Virginia, LLC | Anesthesiology | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2017-10-05 |
| 1245749696 | Sheridan Anesthesia Services of Virginia, Inc | Anesthesiology | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2017-09-28 |
| 1700308707 | Deanne Michelle Zuck | Nurse Practitioner | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2017-07-11 |
| 1487105169 | Osullivan Pathology Pllc | Pathology | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2016-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| 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 |
|---|---|---|---|---|
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| 1467741538 | Tamara Carroll | Radiology | 10401 Spotsylvania Ave Ste 200, Fredericksburg, VA 22408-8606 | 2011-03-29 |
| 1497963011 | Dishant G Shah | Radiology | 5627 Joshua Tree Cir, Fredericksburg, VA 22407-9341 | 2007-05-18 |
| 1366786840 | Sheridan Radiology Services of South Florida, Inc. | Radiology | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2012-11-21 |
| 1104172220 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2012-07-26 |
| 1538415658 | Sheridan Radiology Services of Kentucky, Inc | Radiology | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2012-07-26 |
| 1912253113 | Florida United Radiology, Lc | Radiology | 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 | 2012-07-25 |
| 1740546498 | Nisha Alle | Radiology | 1001 Sam Perry Blvd, Fredericksburg, VA 22401 | 2012-04-06 |
| 1811286115 | Pinky Sharma | Radiology | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2011-04-07 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
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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.