RADIOLOGY INSTITUTE (NPI# 1528627734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528627734 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY INSTITUTE |
| Practice Address |
12731 Marblestone Dr Ste 200 Woodbridge VA 22192-8334 |
| Practice Telephone | 7036736389 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | DR. SHAHIN J KORANGY (OWNER) |
| Authorized Official Telephone | 7036736389 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NPI OF PROVIDER | 1770679466 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RADIOLOGY INSTITUTE | 4776 Sw 8th St, Coral Gables, FL 33134-2564 |
| New York State Corporations | RADIOLOGY INSTITUTE INC. | 120 Bassett Road, Amherst, Ny 14221 |
| Oregon Corporations, Companies and Business Names | RADIOLOGY INSTITUTE OF THE NORTHWEST, LLC | 10137 Se Stephens St, Portland, OR 97216 |
| Street Address |
12731 MARBLESTONE DR STE 200 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-8334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952318826 | Angela Kay Minor | Physician Assistant | 12731 Marblestone Dr Ste 200, Woodbridge, VA 22192-8334 | 2006-08-02 |
| 1043764632 | Abu Sheriff | Clinical Nurse Specialist | 12731 Marblestone Dr Ste 200, Woodbridge, VA 22192-8334 | 2016-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| 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 |
|---|---|---|---|---|
| 1669444212 | Llewellyn Vanorden Lee | Radiology | 14085 Crown Ct, Woodbridge, VA 22193-1458 | 2006-02-06 |
| 1457816522 | Imrad of Virginia Pllc | Radiology | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2019-02-04 |
| 1629406806 | Optimal Radiology Partners of Virginia Pllc | Radiology | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2013-10-24 |
| 1679867212 | Rachel Lynn Piechowiak | Radiology | 14085 Crown Ct, Woodbridge, VA 22193-1458 | 2011-05-31 |
| 1538341540 | Mri of Woodbridge | Radiology | 2200 Opitz Blvd, Suites 335&320, Woodbridge, VA 22191-3321 | 2007-11-30 |
| 1508838624 | Potomac Radiology & Imaging Associates Inc | Radiology | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2006-02-02 |
| 1821088345 | Lawrence J Israel | Radiology | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2005-10-26 |
| 1629068143 | Robert A Olshaker | Radiology | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2005-10-26 |
| 1528058047 | Palani Rathinasamy | Radiology | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2005-10-26 |
| 1043200579 | Brendan L Waters | Radiology | 2300 Opitz Blvd, Dept of Radiology, Woodbridge, VA 22191 | 2005-10-26 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on RADIOLOGY INSTITUTE.
| 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.