MR. RONALD DALE KLIZEK (NPI# 1700873668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700873668 |
| Entity Type | Individual |
| Full Name | MR. RONALD DALE KLIZEK |
| Credential | MD |
| Practice Address |
15 S Main St Ste 250 Jamestown NY 14701-6627 |
| Mailing Address |
15 S Main St Ste 250 P O Box 788 Jamestown NY 14701-6627 |
| Practice Telephone | 7166649731 |
| Practice Fax Number | 7166649160 |
| Mailing Telephone | 7166649731 |
| Mailing Fax Number | 7166649160 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2013-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
144625 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00706643 | 05 | |
| NY | WORKERS COMPENSATION | 144625 | 01 |
| NY | RAILROAD MEDICARE | 300016615 | 01 |
| Street Address |
15 S MAIN ST STE 250 |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701-6627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477960383 | Lioudmila Kaminiar | Family Medicine | 15 S Main St Ste 250, Jamestown, NY 14701-6627 | 2014-07-14 |
| 1023428612 | Robert Bailey | Family Medicine | 15 S Main St Ste 250, Jamestown, NY 14701-6627 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
| 1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
| 1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
| 1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
| 1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
| Find all providers in zip 14701 | ||||
| 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 |
|---|---|---|---|---|
| 1215045844 | Michael Omalley Md Inc | Radiology | 436 Central Ave West, Jamestown, TN 38556-3031 | 2006-08-25 |
| 1942258967 | Mark Wayne Hogge | Radiology | 796 Fairmount Ave # We, Jamestown, NY 14701-2547 | 2006-05-04 |
| 1003899584 | Radiology Services, P.a. | Radiology | 419 5th St Ne, Jamestown, ND 58401-3300 | 2005-11-29 |
| 1508273319 | Anthony Ansar Mohamed | Radiology | 207 Foote Ave, Jamestown, NY 14701-7077 | 2014-07-14 |
| 1184858086 | Corey Garrett Daniels | Radiology | 15 S Main St, Suite 250, Jamestown, NY 14701-6626 | 2009-05-06 |
| 1700038981 | Lutheran Charity Association | Radiology | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2008-10-21 |
| 1629113287 | Michael Omalley Md | Radiology | 436 Central Ave W, Jamestown, TN 38556-3031 | 2007-02-21 |
| 1225006901 | Peter J Nicholson | Radiology | 207 Foote Ave, Jamestown, NY 14701-7077 | 2006-03-09 |
| 1700869229 | Raymundo T Tan | Radiology | 419 5th St Ne, Jamestown, ND 58401-3300 | 2005-11-29 |
| 1871580043 | James Gordon Dahlie | Radiology | 207 Foote Ave, Jamestown, NY 14701-7077 | 2005-10-04 |
| Find all providers in JAMESTOWN | ||||
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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.