NOVA RADIOLOGY, P.C (NPI# 1457308579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457308579 |
| Entity Type | Organization |
| Organization Name | NOVA RADIOLOGY, P.C |
| Practice Address |
10150 Se 32nd Ave Milwaukie OR 97222-6516 |
| Mailing Address |
Po Box 547 Corvallis OR 97339-0547 |
| Practice Telephone | 5415138300 |
| Mailing Telephone | 5417585047 |
| Mailing Fax Number | 5417583713 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | THOMAS R. BROWN (PRESIDENT) |
| Authorized Official Telephone | 5035138300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 060264 | 05 |
| Street Address |
10150 SE 32ND AVE |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-6516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485737 | Stephani Sue Jirikovic | Pharmacist | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2020-10-21 |
| 1801423876 | Judy Marie Schumacker | Social Worker | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2020-03-26 |
| 1457908840 | Dana Thuy Nguyen | Pharmacist | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2019-08-21 |
| 1689152860 | Kevin Morikawa | Physical Therapist | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2018-07-31 |
| 1578014239 | Providence Health & Services Oregon | Anesthesiology | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2016-10-18 |
| 1356793152 | Brian Schapansky | Nurse Anesthetist, Certified Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2016-07-06 |
| 1659751360 | Providence Health & Services Oregon | Psychiatric Unit | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2015-06-08 |
| 1851783138 | Holly Turner | Dietitian, Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2015-02-24 |
| 1427458231 | Sue F Lee | Nurse Anesthetist, Certified Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2014-08-28 |
| 1831501394 | Julia Watts Schafer | Nurse Anesthetist, Certified Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2014-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| 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 |
|---|---|---|---|---|
| 1497086466 | Advanced Medical Imaging of Portland, LLC | Radiology | 6542 Se Lake Rd Ste 103, Milwaukie, OR 97222-2245 | 2010-01-14 |
| 1457379612 | James E Stark | Radiology | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2006-07-17 |
| 1851319016 | Michael Ming-yin Chan | Radiology | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932621588 | Cascade Medical Imaging LLC | Radiology | 61270 Se Coombs Pl Ste 100, Bend, OR 97702-3704 | 2017-07-14 |
| 1003338963 | Central Oregon Magnetic Resonance Imaging LLC | Radiology | 61270 Se Coombs Pl Ste 150, Bend, OR 97702-3704 | 2017-07-12 |
| 1740713908 | Radiology Associates, PC | Radiology | 60472 Snap Shot Loop, Bend, OR 97702-2539 | 2017-04-05 |
| 1528413754 | Bay Area Radiology, PC | Radiology | 2823 Ne 55th Ave, Portland, OR 97213-3439 | 2016-04-25 |
| 1336503341 | Central Oregon Magnetic Resonance Imaging LLC | Radiology | 1253 Nw Canal Blvd Ste 101, Redmond, OR 97756-1334 | 2016-04-06 |
| 1790171585 | Dianna Howard | Radiology | 3181 Sw Sam Jackson Rd, Portland, OR 97239-3011 | 2015-04-08 |
| 1093147985 | Telerad of Or Account Management LLC | Radiology | 2315 W 28th Ave, Eugene, OR 97405-5901 | 2013-08-02 |
| 1245674506 | Jaryd Yee | Radiology | Ohsu Radiology Department, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239-3011 | 2013-04-17 |
| 1700175874 | Ramsey Al-hakim | Radiology | 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 | 2011-03-29 |
| 1386961712 | Yama Kharoti | Radiology | 2801 N Gantenbein Ave Ste 4239, Portland, OR 97227-1623 | 2010-04-25 |
| Find all providers with the same taxonomy | ||||
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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.