PAMELA J PHELAN


Address: 2323 W Rose Garden Ln, Southwest Diagnostic Imaging, Ltd, Phoenix, AZ 85027-2530
Phone: 6025216200

PAMELA J PHELAN (NPI# 1649239278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649239278
Entity Type Individual
Full Name PAMELA J PHELAN
Other Name PAMELA J CROSSEN
Credential PAC
Practice Address 2323 W Rose Garden Ln
Southwest Diagnostic Imaging, Ltd
Phoenix
AZ 85027-2530
Practice Telephone 6025216200
Practice Fax Number 6238425640
Mailing Telephone 6025216200
Mailing Fax Number 6238425640
Enumeration Date 2006-03-22
Last Update Date 2014-12-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
3302 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 035547 05

Other Providers PAMELA PHELAN

NPI Name Taxonomy Address Enumeration
1679778682 Pamela Phelan Physical Therapist 7233 Whipple Ave Nw, North Canton, OH 44720-7137 2007-06-19

Office Location

Street Address 2323 W ROSE GARDEN LN
SOUTHWEST DIAGNOSTIC IMAGING, LTD
City PHOENIX
State AZ
Zip Code 85027-2530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720086507 Eric Joseph Rodriguez Radiology 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 2005-07-14
1023653573 Karina Mendez Colon Physician Assistant 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 2019-11-07
1912131939 Kazal Bahl Internal Medicine 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 2009-05-05
1649415308 Drew C Hunter Chiropractor 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 2008-12-10
1124249206 Samuel Benjamin Braff Radiology 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 2007-05-02
1447385034 Tyler R Scimeca Radiology 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 2007-02-22
1881776821 Imtiaz Ahmed Radiology 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 2006-10-19
1477589075 Valley Radiologists Ltd Radiology 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 2006-06-24
1902856701 Judy L Greene Radiology 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 2006-05-11
1225096563 Paul Alan Aupperle Specialist 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 2006-05-03
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

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1659703304 Tesla Imaging and Medical Radiology 43817 Nth 50th Dr, Phoenix, AZ 85087 2013-08-05
1962748574 Alysha Keren Vartevan Radiology 4130 E Van Buren St Ste 100, Phoenix, AZ 85008-6996 2012-12-31
1003177767 Donald A Tobias Radiology 97 Biltmore Est, Phoenix, AZ 85016-2820 2012-05-30
1518279660 Nicholas Bhojwani Radiology 2625 East Camelback Road, Unit 261, Phoenix, AZ 85016 2010-07-06
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1891928107 Smi Imaging, LLC Radiology 20414 N 27th Ave Ste 150, Phoenix, AZ 85027-3246 2009-09-02
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Competitor

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City PHOENIX
Zip Code 85027

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Dataset Information

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.

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