MEADVILLE DIAGNOSTIC MEDICAL IMAGING, INC (NPI# 1649281379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649281379 |
| Entity Type | Organization |
| Organization Name | MEADVILLE DIAGNOSTIC MEDICAL IMAGING, INC |
| Practice Address |
751 Liberty St Meadville PA 16335-2559 |
| Mailing Address |
Po Box 1198 Somerset PA 15501-0336 |
| Practice Telephone | 8143335603 |
| Mailing Telephone | 8144448910 |
| Mailing Fax Number | 8144449782 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2014-07-25 |
| Authorized Official Name | DR. FREDERIC T MCDERMOTT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8143335603 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
751 LIBERTY ST |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233568 | William D. Sullivan | Internal Medicine | 751 Liberty St, Meadville, PA 16335-2559 | 2005-05-31 |
| 1134745094 | Nico Ferreras | Family Medicine | 751 Liberty St, Meadville, PA 16335-2591 | 2020-06-17 |
| 1629699236 | Sarah Elizabeth Potts | Family Medicine | 751 Liberty St, Meadville, PA 16335-2559 | 2020-05-05 |
| 1225659667 | Jennifer Lynne Babins | Student in an Organized Health Care Education/Training Program | 751 Liberty St, Meadville, PA 16335-2591 | 2020-04-27 |
| 1699395509 | Zachary Paul Henderson | Family Medicine | 751 Liberty St, Meadville, PA 16335-2559 | 2020-04-21 |
| 1821635699 | Nicole Marie Temple | Physical Therapy Assistant | 751 Liberty St, Meadville, PA 16335-2591 | 2019-11-29 |
| 1235775651 | Alfred Leonard Hartick Iv | Physical Therapist | 751 Liberty St, Meadville, PA 16335-2559 | 2019-11-20 |
| 1215573936 | Melvin Burger Jr. | Physical Therapist | 751 Liberty St, Meadville, PA 16335-2559 | 2019-11-19 |
| 1588209589 | Ryan Brennan | Physical Therapist | 751 Liberty St, Meadville, PA 16335-2559 | 2019-11-13 |
| 1629633573 | Meadville Medical Center | Internal Medicine | 751 Liberty St, Meadville, PA 16335-2591 | 2019-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114951068 | Radserve, LLC | Specialist | 875 Grove St, Meadville, PA 16335-2411 | 2006-07-10 |
| 1740273127 | David G Rust | Specialist | 20 Forest Ave, Meadville, PA 16335-1319 | 2005-08-31 |
| 1841284908 | Mark B Whitney | Specialist | 1034 Grove St, 751 Liberty Street, Meadville, PA 16335-2945 | 2005-09-06 |
| 1194719252 | Ana C Couto | Specialist | 1034 Grove St, Meadville, PA 16335-2945 | 2005-09-06 |
| 1457345514 | Andrzej Kuchnio | Specialist | 1034 Grove St, 751 Liberty Street, Meadville, PA 16335-2945 | 2005-09-06 |
| 1598759656 | Amy J Paczkoskie | Specialist | 1034 Grove St, 751 Liberty Street, Meadville, PA 16335-2945 | 2005-09-06 |
| 1760476923 | Roderick R Fernandez | Specialist | 1034 Grove St, 751 Liberty Street, Meadville, PA 16335-2945 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863909 | Courtney Romain-lopez | Specialist | 301 Lenape Trl, Allentown, PA 18104-8531 | 2020-05-18 |
| 1235751116 | Steven Charles Snyder | Specialist | 119 Boyd Hollow Ln, Spring Mills, PA 16875-7812 | 2020-05-13 |
| 1083236582 | Chelsea Meadows | Specialist | 693 Topaz Dr, Lancaster, PA 17603-5864 | 2020-05-07 |
| 1982224655 | Eric Rickin Md LLC | Specialist | 102 Lexington Ave Ste 2, Aspinwall, PA 15215-3257 | 2020-04-22 |
| 1134748510 | Beaver County Regenerative Wellness Centers PC | Specialist | 3582 Brodhead Rd Ste 108, Monaca, PA 15061-3142 | 2020-04-15 |
| 1780203414 | Essence Allen-presley | Specialist | 252 Melrose Ave, Lansdowne, PA 19050-2532 | 2020-04-13 |
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1487285094 | Kim O'toole | Specialist | 105 Hay Rd, Milford, PA 18337-9020 | 2020-02-01 |
| 1437789740 | Kate Beer | Specialist | 3357 W 43rd St, Erie, PA 16506-4233 | 2020-01-26 |
| 1346888690 | Colleen Ruddy | Specialist | 205 Glenburn Rd, Clarks Green, PA 18411-2534 | 2019-12-17 |
| 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.