FAMILY MRI INC. (NPI# 1417106998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417106998 |
| Entity Type | Organization |
| Organization Name | FAMILY MRI INC. |
| Practice Address |
75 Thomas Johnson Dr Suite F Frederick MD 21702-4895 |
| Practice Telephone | 3016313674 |
| Practice Fax Number | 3016313675 |
| Mailing Telephone | 3016313674 |
| Mailing Fax Number | 3016313675 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | MR. ROBERT M. KIANETSKI (PRESIDENT) |
| Authorized Official Telephone | 2404056307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
75 THOMAS JOHNSON DR SUITE F |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768764 | Everett T. Hart | Otolaryngology | 75 Thomas Johnson Dr, Ste B, Frederick, MD 21702-4895 | 2005-05-23 |
| 1811281322 | Jennifer Hair | Genetic Counselor, MS | 75 Thomas Johnson Dr, Suite G, Frederick, MD 21702-4895 | 2011-06-01 |
| 1669764114 | Frederick Foot and Ankle Specialists | Durable Medical Equipment & Medical Supplies | 75 Thomas Johnson Dr, Suite I, Frederick, MD 21702-4895 | 2011-05-03 |
| 1710286190 | Center for Pain Management, LLC | Pain Medicine | 75 Thomas Johnson Dr, Ste C, Frederick, MD 21702-4895 | 2011-03-24 |
| 1669785457 | Frederick Foot & Ankle Surgery Center LLC | Clinic/Center | 75 Thomas Johnson Dr, Suite I, Frederick, MD 21702-4895 | 2010-07-21 |
| 1326351776 | George I Smith | Internal Medicine | 75 Thomas Johnson Dr, Suite F, Frederick, MD 21702-4895 | 2010-07-14 |
| 1598085011 | Leota Lifestar LLC | Counselor | 75 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4895 | 2010-06-07 |
| 1669669818 | Tuckey and Associates Physical Therapy, LLC | Physical Therapist | 75 Thomas Johnson Dr, Frederick, MD 21702-4895 | 2007-10-02 |
| 1497888226 | Elizabeth Anne Van Dermark | Nurse Practitioner | 75 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4895 | 2007-03-13 |
| 1528191368 | M Jean Giove | Physical Therapist | 75 Thomas Johnson Dr, Suite M, Frederick, MD 21702-4895 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| 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 |
|---|---|---|---|---|
| 1194751198 | Paul S Schaefer | Radiology | 67 Thomas Johnson Dr, Suite 4, Frederick, MD 21702-4863 | 2006-06-23 |
| 1033605902 | Frederick Health Hospital Inc | Radiology | 501 W 7th St, Frederick, MD 21701-4586 | 2018-07-03 |
| 1417215732 | Bipin Rajendran | Radiology | 400 W 7th St, Frederick, MD 21701-4593 | 2012-04-24 |
| 1306176706 | Sherwin Danaie | Radiology | 400 W 7th St, Frederick, MD 21701-4506 | 2010-01-06 |
| 1467624916 | Marsha Naydich | Radiology | 400 W 7th St, Frederick, MD 21701-4506 | 2008-03-25 |
| 1063699940 | Frederick Imaging Centers, LLC | Radiology | 46b Thomas Johnson Dr, Frederick, MD 21702 | 2008-01-23 |
| 1194747949 | Gregory Lavanier | Radiology | 400 W 7th St, Frederick, MD 21701-4506 | 2006-07-24 |
| 1235163254 | Peter Kremers | Radiology | 400 W 7th St, Frederick, MD 21701-4506 | 2006-07-10 |
| 1255361887 | Mark Glass-royal | Radiology | 400 W 7th St, Frederick, MD 21701-4506 | 2006-07-03 |
| 1073543609 | Joshua C Pleasure | Radiology | 400 W 7th St, Frederick, MD 21701-4506 | 2006-07-03 |
| Find all providers in FREDERICK | ||||
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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.