ADVANCED BREAST CARE IMAGING LLC (NPI# 1700894755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700894755 |
| Entity Type | Organization |
| Organization Name | ADVANCED BREAST CARE IMAGING LLC |
| Practice Address |
250 Cetronia Road Suite 102 Allentown PA 18104 |
| Mailing Address |
250 Cetronia Rd Suite 102 Allentown PA 18104-9147 |
| Practice Telephone | 6103660444 |
| Practice Fax Number | 6103667288 |
| Mailing Telephone | 6103660444 |
| Mailing Fax Number | 6103667288 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | MARK ALAN GITTLEMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6103660444 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
3331356 | PA | Ambulatory Health Care Facilities |
| Street Address |
250 CETRONIA ROAD SUITE 102 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801888987 | Orthopaedic Associates of Allentown | Podiatrist | 250 Cetronia Road, Suite 303, Allentown, PA 18104-9168 | 2005-08-16 |
| 1003078544 | Christina R Mitman | Physical Therapist | 250 Cetronia Road, Suite 303, Allentown, PA 18104-9168 | 2008-06-26 |
| 1447384144 | Antoinette D. Michel | Specialist/Technologist | 250 Cetronia Road, Allentown, PA 18104 | 2007-03-15 |
| 1467502054 | Orthopaedic Associates of Allentown | Clinic/Center | 250 Cetronia Road, Suite 101, Allentown, PA 18104 | 2007-01-12 |
| 1437235306 | David Scott Maxted | Specialist/Technologist | 250 Cetronia Road, Allentown, PA 18104 | 2006-10-31 |
| 1114008372 | Tamar A Block Wiener | Physician Assistant | 250 Cetronia Road, Suite 303, Allentown, PA 18104-9168 | 2006-10-17 |
| 1255420303 | Daniel Wayne Sicher | Specialist/Technologist | 250 Cetronia Road, Allentown, PA 18103 | 2006-10-12 |
| 1053412866 | Diane M Rakos | Physical Therapist | 250 Cetronia Road, Suite 303, Allentown, PA 18104-9168 | 2006-09-26 |
| 1427163161 | Stuart Cohen | Chiropractor | 250 Cetronia Road, Suite 303, Allentown, PA 18104-9168 | 2006-08-21 |
| 1508890096 | Amy B Keefe | Physician Assistant | 250 Cetronia Road, Suite 303, Allentown, PA 18104-9168 | 2006-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
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| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
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| 1609263946 | Geisinger Lewistown Hospital | Clinic/Center | 27 Cjems Lane, Mifflintown, PA 17059 | 2015-04-24 |
| 1427448026 | Tyrone Hospital | Clinic/Center | 2918 6th Ave, Altoona, PA 16602-1917 | 2015-02-03 |
| 1073813846 | Allegheny Clinic | Clinic/Center | 100 S Jackson Ave, Pittsburgh, PA 15202-3428 | 2010-10-27 |
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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.