SHARED PET IMAGING LLC (NPI# 1457354318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457354318 |
| Entity Type | Organization |
| Organization Name | SHARED PET IMAGING LLC |
| Practice Address |
1341 Clark St Cambridge OH 43725 |
| Mailing Address |
18201 Von Karman Ave Ste 600 Irvine CA 92612-1176 |
| Practice Telephone | 3304910480 |
| Practice Fax Number | 3304910488 |
| Mailing Telephone | 9492425300 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2018-05-25 |
| Authorized Official Name | RHONDA LONGMORE-GRUND (EXEC VP & CFO) |
| Authorized Official Telephone | 8005443215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200398920 | 05 | |
| OH | 2364392 | 05 | |
| OH | 2410251 | 05 | |
| OH | 2651090 | 05 |
| Street Address |
1341 CLARK ST |
| City | CAMBRIDGE |
| State | OH |
| Zip Code | 43725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056897 | Erica Lynn Dodge | Dietitian, Registered | 1341 Clark St, Cambridge, OH 43725-9614 | 2019-04-25 |
| 1174040950 | Guernsey Emergency Group, LLC | Physician Assistant | 1341 Clark St, Cambridge, OH 43725-9614 | 2017-08-23 |
| 1871956144 | Lori Kelly | Nurse Practitioner | 1341 Clark St, Cambridge, OH 43725-9614 | 2016-04-03 |
| 1265822803 | Sneha Patadia | Dietitian, Registered | 1341 Clark St, Cambridge, OH 43725-9614 | 2015-02-04 |
| 1568868073 | Candice D Critser | Nurse Practitioner | 1341 Clark St, Cambridge, OH 43725-9614 | 2014-11-10 |
| 1629490347 | Mary Davis | Occupational Therapy Assistant | 1341 Clark St, Cambridge, OH 43725-9614 | 2014-01-15 |
| 1598194102 | Southern Ohio Emergency Physicians, LLP | Emergency Medicine | 1341 Clark St, Cambridge, OH 43725-9614 | 2013-11-04 |
| 1912345984 | Jason John Brown | Emergency Medicine | 1341 Clark St, Cambridge, OH 43725-9614 | 2013-06-11 |
| 1477816775 | Eric Charles Snyder | Nurse Practitioner | 1341 Clark St, Cambridge, OH 43725-9614 | 2012-06-21 |
| 1720364631 | White Trillium Emergency Physicians LLC | Physician Assistant | 1341 Clark St, Cambridge, OH 43725-9614 | 2011-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849619 | Judith Olden | Home Health Aide | 807 N7th St., Cambridge, OH 43725 | 2020-10-19 |
| 1215419676 | Zak Harper | Student in an Organized Health Care Education/Training Program | 4245 College Hill Road, Cambridge, OH 43725 | 2018-09-02 |
| 1184133720 | Nancy Lou Mcintire | Counselor | 927 Wheeling Ave Suite 310, Cambridge, OH 43725 | 2017-09-27 |
| 1356877559 | Jane Engott | Counselor | 841 Stubenville Ave, Cambridge, OH 43725 | 2017-05-08 |
| 1316470701 | Kendra Winland | Case Management | 841 Steubenville Ave., Cambridge, OH 43725 | 2017-04-04 |
| 1609319870 | Candi Frame | Social Worker | 225 Woodlawn Ave, Cambridge, OH 43725 | 2016-11-21 |
| 1659727808 | William Andrew Kuebler | Pharmacist | 61690 Southgate Pkwy, Cambridge, OH 43725 | 2016-05-06 |
| 1790176758 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 503 Columbia Court, Cambridge, OH 43725 | 2015-02-12 |
| 1508257569 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 66620 Westgate Drive, Cambridge, OH 43725 | 2015-02-12 |
| 1558773432 | Altens Womens Health, LLC | Obstetrics & Gynecology | 65007 Old 21 Rd, Cambridge, OH 43725 | 2014-05-27 |
| Find all providers in zip 43725 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
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| 1477693265 | Extended Care Diagnostics LLC Inc | Clinic/Center | 4422 Carver Woods Dr Ste 6, Blue Ash, OH 45242-5536 | 2007-02-08 |
| 1508890591 | Steel Valley Diversified, Inc | Clinic/Center | 5136 Tuscarawas St W, Canton, OH 44708-5016 | 2006-07-10 |
| 1871535161 | Mobile Echo and Imaging, Inc. | Clinic/Center | 410 Grant St, Galion, OH 44833-1843 | 2006-06-12 |
| 1003855909 | Imaging Resource Centers Ltd | Clinic/Center | 2991 Newmark Dr, Miamisburg, OH 45342-5416 | 2006-06-06 |
| 1467407478 | Mobile Dexa Services LLC | Clinic/Center | 8996 Terwilligers Vw, Cincinnati, OH 45249-2727 | 2006-05-24 |
| 1275157075 | Pdi Health Oh LLC | Clinic/Center | 20 S 3rd St, Columbus, OH 43215-4206 | 2020-06-08 |
| 1447881362 | Woodland Diagnostic Imaging LLC | Clinic/Center | 5005 Whipple Ave Nw, Canton, OH 44718-2657 | 2020-01-29 |
| 1407491343 | Ohio Diagnostic Imaging LLC | Clinic/Center | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2019-11-14 |
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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.