DR. EILEEN M TRAVERS CONCANNON (NPI# 1396833471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396833471 |
| Entity Type | Individual |
| Full Name | DR. EILEEN M TRAVERS CONCANNON |
| Credential | M.D. |
| Practice Address |
34 Willow Dr Chester NJ 07930-2812 |
| Mailing Address |
560 S Broadway Hicksville NY 11801-5013 |
| Practice Telephone | 9086255187 |
| Mailing Telephone | 5169332200 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA03766300 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0291404 | 05 |
| Street Address |
34 WILLOW DR |
| City | CHESTER |
| State | NJ |
| Zip Code | 07930-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659844884 | Prime Md, PC | Internal Medicine | 115 Route 206, Chester, NJ 07930 | 2019-01-10 |
| 1972018778 | Pro Health Sports and Wellness Center Chester LLC | Chiropractor | 169 Route 206, Chester, NJ 07930 | 2017-12-04 |
| 1912436718 | Carlie Noelle Joyce | Registered Nurse | 183 Us 206 North, Chester, NJ 07930 | 2017-06-06 |
| 1275965691 | Sharon Buck | Counselor | 154 Route 206, Second Floor - Suite A, Chester, NJ 07930 | 2013-08-08 |
| 1205066123 | Nathan Spiegel | Internal Medicine | 32 Cooper Lane, Chester, NJ 07930 | 2009-07-27 |
| 1912160276 | Daniella Naomi Peer | Dentist | 530 Main Street, Suite 6b, Chester, NJ 07930 | 2008-07-08 |
| 1174704746 | Leslie Anne Dicola | Acupuncturist | 35 Perry Street, Chester, NJ 07930 | 2007-11-23 |
| 1902920689 | Gerard A. Begley | Dentist | 385 State Rt. 24, Ste 3b, Chester, NJ 07930 | 2007-03-19 |
| 1790809911 | Norma Glennon | Occupational Therapist | 201 Pleasant Hill Raod, Chester, NJ 07930 | 2007-03-16 |
| 1790837359 | Chester Surgery Center Corp | Plastic Surgery | 385 Route 24 Suite 3k, Chester, NJ 07930 | 2007-01-16 |
| Find all providers in zip 07930 | ||||
| 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 |
|---|---|---|---|---|
| 1699090381 | Hackettstown Imaging Services LLC | Radiology | 12 Chilton Rd, Chester, NJ 07930-3109 | 2010-04-06 |
| 1104263110 | Matthew Lawrence Uriell | Radiology | 1 Medical Center Blvd, Chester, PA 19013 | 2013-05-30 |
| 1104188077 | Shivkumar Kambhampati | Radiology | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2012-06-15 |
| 1053697714 | Sally W Regan Md PC | Radiology | 1 Medical Park Dr, Chester, SC 29706-9769 | 2011-10-26 |
| 1427345420 | Alexander S Burn | Radiology | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2011-06-29 |
| 1043530231 | Amy Vogia | Radiology | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2010-06-10 |
| 1962668855 | Mohammed Talat Nawas | Radiology | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2008-07-31 |
| 1366645624 | Heather G. Hahn | Radiology | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2007-06-06 |
| 1700806478 | Chad William Brecher | Radiology | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2006-07-19 |
| 1154387850 | Brett A Prywitch | Radiology | 1900 State St, Chester Memorial Hospital, Chester, IL 62233 | 2006-04-22 |
| Find all providers in CHESTER | ||||
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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.