DR. IAN RALPH WHITESIDE (NPI# 1437560430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437560430 |
| Entity Type | Individual |
| Full Name | DR. IAN RALPH WHITESIDE |
| Credential | M.D. |
| Practice Address |
101 Nicolls Rd Hsc Level 4, Room 120 Stony Brook NY 11794-8460 |
| Mailing Address |
31 Continental Dr Centereach NY 11720-1401 |
| Practice Telephone | 6313586168 |
| Mailing Telephone | 7578397943 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2020-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
303407 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
101 NICOLLS RD HSC LEVEL 4, ROOM 120 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-8460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174511760 | Monika Isabela Woroniecka | Allergy & Immunology | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2005-10-08 |
| 1245830082 | Dorothy E Gozdziak | Registered Nurse | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-10-30 |
| 1366041907 | Christine Morgan | Registered Nurse | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-10-24 |
| 1235736240 | Glenn Phillip Schiotis Jr. | Pharmacist | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-10-02 |
| 1508470477 | Tomas Liboreiro | Nurse Practitioner | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-09-08 |
| 1881211266 | Valerie Marie Birmingham | Nurse Anesthetist, Certified Registered | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-07-01 |
| 1841816303 | Richard S Menjivar | General Acute Care Hospital | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-06-22 |
| 1801419528 | Jamie Rachel Moore | Registered Nurse | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-05-28 |
| 1871114108 | Samantha Dunn | Student in an Organized Health Care Education/Training Program | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-04-28 |
| 1750901294 | Samantha Ann Morganelli | Student in an Organized Health Care Education/Training Program | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| 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 |
|---|---|---|---|---|
| 1780611517 | Erica Posniak | Radiology | University Hospital, L4, Stony Brook, NY 11794-0001 | 2006-06-27 |
| 1205863206 | Harris Cohen | Radiology | University Hospital At Stony Brook, Stony Brook, NY 11794-0001 | 2006-06-26 |
| 1942236021 | Seth Mankes | Radiology | University Hospital, L4, Stony Brook, NY 11794-0001 | 2006-06-23 |
| 1780629576 | Marlene Zawin | Radiology | University Hospital, L4, Stony Brook, NY 11794-0001 | 2006-06-17 |
| 1629010004 | Gerda L. Van De Vegte | Radiology | University Hospital, L4, Stony Brook, NY 11794-0001 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122709 | Rayane Issa | Radiology | 109 E 102nd St Apt 2g, New York, NY 10029-5896 | 2020-10-24 |
| 1992327134 | Dongmei Jiang | Radiology | 15041 26th Ave, Flushing, NY 11354-1513 | 2020-05-11 |
| 1871137828 | Vetri Sudar Jayaprakasam | Radiology | 1233 York Ave Apt 17i, New York, NY 10065-6342 | 2019-11-03 |
| 1447801808 | Elisabeth O'dwyer | Radiology | 525 E 68th St. Radiology, Cornell/new York Presbyterian, New York, NY 10021-4870 | 2019-09-26 |
| 1184038069 | Kimberly Owens | Radiology | 1783 Route 9 Ste 104, Halfmoon, NY 12065-2465 | 2014-06-18 |
| 1972876340 | Paul D Rodrigue | Radiology | 47 New Scotland Ave Ofc, Albany, NY 12208-3412 | 2012-02-16 |
| 1912289828 | Penny Saxon | Radiology | One Gustave L. Levy Place Box 1234, Department of Radiology The Mount Sinai Medical Center, New York, NY 10029-6574 | 2011-09-16 |
| 1518248657 | Kelly M Barna | Radiology | 150 E. Sunrise Highway, Lindenhurst, NY 11757 | 2011-09-02 |
| 1124319710 | Weill Medical College of Cornell University | Radiology | 516 E 72nd St, New York, NY 10021-4804 | 2011-04-29 |
| 1326345893 | Excel Imaging PC | Radiology | 7235 51st Ave, Suite B, Woodside, NY 11377-7610 | 2011-02-18 |
| Find all providers with the same taxonomy | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
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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.