PHYSICIAN'S MOBILE X-RAY, INC (NPI# 1447677158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447677158 |
Entity Type | Organization |
Organization Name | PHYSICIAN'S MOBILE X-RAY, INC |
Practice Address |
16107a Elliott Pkwy Williamsport MD 21795-4084 |
Mailing Address |
945 E Park Dr Ste 102 Harrisburg PA 17111-2804 |
Practice Telephone | 7175614940 |
Practice Fax Number | 7175614999 |
Mailing Telephone | 7175614940 |
Mailing Fax Number | 7175614999 |
Enumeration Date | 2014-03-20 |
Last Update Date | 2014-03-20 |
Authorized Official Name | TODD GELBAUGH (CEO) |
Authorized Official Telephone | 7175614940 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336656487 | Physician's Mobile X-ray, Inc | Radiology | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2018-01-10 |
1831606011 | Physician's Mobile X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2018-01-09 |
1114448891 | Physician's Mobile X-ray, Inc | Radiology | 210 Front Royal Pike, Winchester, VA 22602-7313 | 2017-07-03 |
1598286437 | Physician's Mobile X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 210 Front Royal Pike, Winchester, VA 22602-7313 | 2017-06-30 |
1720404767 | Physician's Mobile X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 16107a Elliott Pkwy, Williamsport, MD 21795-4084 | 2014-03-14 |
1518382985 | Physician's Mobile X-ray, Inc | Radiology | 3540 Three Little Bakers Blvd, Wilmington, DE 19808-1754 | 2014-02-21 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PHYSICIAN'S MOBILE X-RAY, INC. | 945 E Park Dr Ste 102, Harrisburg, PA 17111-2804 |
Street Address |
16107A ELLIOTT PKWY |
City | WILLIAMSPORT |
State | MD |
Zip Code | 21795-4084 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356489348 | Old Line Healthcare Inc | Pharmacy | 16107a Elliott Pkwy, Williamsport, MD 21795-4084 | 2007-02-02 |
1720404767 | Physician's Mobile X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 16107a Elliott Pkwy, Williamsport, MD 21795-4084 | 2014-03-14 |
1265717342 | Natalie R Logsdon | Pharmacist | 16107a Elliott Pkwy, Williamsport, MD 21795-4084 | 2011-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396736088 | Cynthia L Campbell | Nurse Anesthetist, Certified Registered | 10212 Governor Lane Blvd Unit 1004, Williamsport, MD 21795 | 2005-11-02 |
1417375692 | Jamie Clare Worsley | Family Medicine | 16605 Kendle Rd, Williamsport, MD 21795 | 2014-04-03 |
1548456460 | Judith Ann Christner | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795 | 2007-09-25 |
1366530057 | Penbec Inc | Pharmacy | 34 N Conococheague St, Williamsport, MD 21795-1004 | 2006-10-10 |
1386717544 | Shannon Leigh Mellott | Occupational Therapy Assistant | 154 N Artizan St, Williamsport, MD 21795-1104 | 2006-11-16 |
1023586856 | Brianna Rachelle Dorsey | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-11-09 |
1134697311 | Megan Dmuchowski | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-11-06 |
1427557800 | Flagship Rehabilitation, Inc | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-02-12 |
1154838811 | Jamie Auxt Mcelwee | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-01-03 |
1346757275 | Christopher George Nyack | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2017-12-31 |
Find all providers in zip 21795 |
Taxonomy Code | 2085U0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Ultrasound |
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
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. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497353866 | Betelhem Seleshi | Radiology | 8630 Fenton St Ste 121, Silver Spring, MD 20910-3803 | 2020-10-16 |
1609268390 | Midatlantic Diagnostics, LLC | Radiology | 822 Guilford Ave # 210, Baltimore, MD 21202-3707 | 2015-03-04 |
1689888323 | Diego San Millan Ruiz | Radiology | 525 S Ann St, Baltimore, MD 21231-2906 | 2007-05-10 |
1336656487 | Physician's Mobile X-ray, Inc | Radiology | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2018-01-10 |
1639497308 | Majormedical LLC Portable Diagnostics | Radiology | 8241 Georgia Ave, Suite 102, Silver Spring, MD 20910-4510 | 2010-05-05 |
1497911028 | Bahram Erfan, Md Pa | Radiology | 6510 Kenilworth Ave, Suite 2500, Riverdale, MD 20737-1339 | 2008-08-04 |
1215964416 | David Rhee | Radiology | 400 W 7th St, Frederick, MD 21701-4506 | 2006-06-26 |
City | WILLIAMSPORT |
Zip Code | 21795 |
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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.