COLUMBUS DIAGNOSTIC CENTER INC (NPI# 1598081093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598081093 |
| Entity Type | Organization |
| Organization Name | COLUMBUS DIAGNOSTIC CENTER INC |
| Other Organization Name | CDC NORTHSIDE |
| Practice Address |
7500 Veterans Pkwy Ste B Columbus GA 31909-2525 |
| Mailing Address |
Po Box 931077 Atlanta GA 31193-1077 |
| Practice Telephone | 7063237622 |
| Practice Fax Number | 7062563454 |
| Mailing Telephone | 7062563450 |
| Mailing Fax Number | 7062563454 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | JOSEPH A PAUL (PRESIDENT) |
| Authorized Official Telephone | 5617449122 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLUMBUS DIAGNOSTIC CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CDC Northside | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700892288 | Columbus Diagnostic Center Inc | Radiology | 2040 10th Ave, Columbus, GA 31901 | 2006-08-01 |
| 1316108624 | Columbus Diagnostic Center Inc | Clinic/Center | 2040 10th Ave, Columbus, GA 31901-1461 | 2008-06-19 |
| Street Address |
7500 VETERANS PKWY STE B |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| Find all providers in zip 31909 | ||||
| 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 |
|---|---|---|---|---|
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1922528595 | Advantage Imaging, LLC | Radiology | 1120 Polaris Pkwy Ste 105, Columbus, OH 43240-4042 | 2017-06-23 |
| 1710220975 | Mina S Makary | Radiology | Department of Radiology, Osu Medical Center, 395 W. 12th Ave, 4th Floor, Columbus, OH 43210 | 2013-04-05 |
| 1619236387 | Christopher Scott Davis | Radiology | 395 W 12th Ave Rm 482, Columbus, OH 43210-1267 | 2012-05-15 |
| 1144591066 | Morton I Goldstein | Radiology | 2142 Maple Bnd, Columbus, OH 43229-6809 | 2012-01-24 |
| 1447563168 | Louis Marone | Radiology | Po Box L3402, Columbus, OH 43260-0001 | 2010-07-22 |
| 1407179062 | Theresa M. March | Radiology | 4937 W Broad Street, Suite 302, Columbus, OH 43228 | 2010-03-10 |
| 1114153467 | Kerry Yolanda Cole | Radiology | 2984 Valley Creek Dr, Columbus, OH 43223-3525 | 2009-06-01 |
| 1760631105 | Frank Michael Mullinix | Radiology | 10601 W Grandview Dr, Columbus, IN 47201-8697 | 2008-09-10 |
| 1508024209 | Clinic Medical Services Company | Radiology | 1550 Kenny Rd, Columbus, OH 43212-2564 | 2008-05-29 |
| Find all providers in COLUMBUS | ||||
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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.