IWAO K. TANAKA


Address: 700 High St, Williamsport, PA 17701-3100
Phone: 5703221161

IWAO K. TANAKA (NPI# 1730491192) 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) 1730491192
Entity Type Individual
Full Name IWAO K. TANAKA
Credential M.D.
Practice Address 700 High St
Williamsport
PA 17701-3100
Practice Telephone 5703221161
Practice Fax Number 5703222030
Mailing Telephone 5703221161
Mailing Fax Number 5703222030
Enumeration Date 2010-07-13
Last Update Date 2012-11-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD444860 PA Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
245925 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1027220260001 05

Office Location

Street Address 700 HIGH ST
City WILLIAMSPORT
State PA
Zip Code 17701-3100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063412948 Alfredo L Blas IIi Internal Medicine 700 High St, Williamsport, PA 17701-3198 2005-07-21
1013534031 Austin Strosser Physician Assistant 700 High St, Williamsport, PA 17701-3100 2020-06-26
1720605728 Kyrstin Hubbard Pharmacist 700 High St, Williamsport, PA 17701-3100 2020-06-25
1861013682 Daniel Schuler Student in an Organized Health Care Education/Training Program 700 High St, Williamsport, PA 17701-3100 2020-05-04
1164068904 Jeremy Tock Physician Assistant 700 High St, Williamsport, PA 17701-3100 2019-11-26
1144866278 Ivan Pinsky Nurse Anesthetist, Certified Registered 700 High St, Williamsport, PA 17701-3100 2019-11-25
1659917128 Jo Ann Evans Nurse Practitioner 700 High St, Williamsport, PA 17701-3198 2019-11-20
1093359713 Randy Metzger Occupational Therapy Assistant 700 High St, Williamsport, PA 17701-3100 2019-11-06
1629610480 Andrea Liebersohn Nurse Practitioner 700 High St, Williamsport, PA 17701-3100 2019-10-14
1265074389 Trevor Joseph Hiller Registered Nurse 700 High St, Williamsport, PA 17701-3100 2019-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184267809 Charlene Angella Pitter Nurse Practitioner 170 Warren Ave, Williamsport, PA 17701 2019-10-25
1396395299 Susan E Fetzer Occupational Therapy Assistant Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 2019-09-13
1184280984 Craig Andrew Tuller Student in an Organized Health Care Education/Training Program Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 2019-05-16
1760048045 Michael Harvey Student in an Organized Health Care Education/Training Program 740 High St. Suite 4001, Williamsport, PA 17701 2019-05-13
1275196008 Olivia Fladmark Student in an Organized Health Care Education/Training Program Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 2019-04-17
1528551231 Mark Hampton Chiropractic Inc. Durable Medical Equipment & Medical Supplies 1111 East 3rd Street, Williamsport, PA 17701 2018-06-08
1548710882 Central Pennsylvania Rehabilitation Medicine, Inc Physical Medicine & Rehabilitation 460 River Ave Ste 1, Williamsport, PA 17701 2016-10-11
1376096784 Christine Kessler Physician Assistant One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 2016-08-02
1629440276 Matthew Ray Rebuck Specialist/Technologist 220 N Reach Rd, Williamsport, PA 17701 2015-10-22
1508237223 Neihl Williamson Physician Assistant 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 2015-10-08
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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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104982586 Richard Douglas Walter Radiology 87 Selkirk Rd, Williamsport, PA 17701-1810 2006-12-29
1578903134 Umar Tariq Radiology 740 High St Ste 2001, Williamsport, PA 17701-3102 2013-06-27
1215142542 Prakash G Koshy Radiology 700 High St, Williamsport, PA 17701-3100 2007-05-11
1750414413 Hanae L Bahr Radiology 700 High St, Williamsport, PA 17701-3100 2007-03-13
1154459568 Abike O. Durojaye Radiology 700 High St, Williamsport, PA 17701-3100 2007-02-28
1649286790 Daniel Elmer Wolfe Radiology 777 Rural Ave, Williamsport, PA 17701-3109 2006-07-31
1417971573 Robert Orville France Radiology 700 High St, Williamsport, PA 17701-3100 2006-07-26
1801810973 Robert Earl Plummer Jr. Radiology 700 High St, Williamsport, PA 17701-3100 2006-07-26
1023032737 David Quintana Radiology 700 High St, Williamsport, PA 17701-3100 2006-07-26
1972527976 Harshad Rambhai Patel Radiology 700 High St, Williamsport, PA 17701-3100 2006-07-26
Find all providers in WILLIAMSPORT

Competitor

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City WILLIAMSPORT
Zip Code 17701

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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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