DANIEL JASON QUENNEVILLE (NPI# 1740276500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740276500 |
| Entity Type | Individual |
| Full Name | DANIEL JASON QUENNEVILLE |
| Credential | M.D. |
| Practice Address |
5643 Woodmansee Way Liberty Twp OH 45011-5914 |
| Practice Telephone | 9372411670 |
| Mailing Telephone | 9372411670 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
36117436 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35.080743 | OH | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
3569 | AK | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301052746 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
5643 WOODMANSEE WAY |
| City | LIBERTY TWP |
| State | OH |
| Zip Code | 45011-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702000 | Trisha Sue Allen | Case Manager/Care Coordinator | Sojourner Recovery Services, 515 Dayton Street, Hamilton, OH 45011 | 2020-08-27 |
| 1235755158 | Toika Thompson | Community Health Worker | 614 S 4th St, Hamilton, OH 45011 | 2020-06-17 |
| 1912477589 | Bernice Lorene Garrison | Registered Nurse | 621 S. Erie Boulevard, Hamilton, OH 45011 | 2018-11-27 |
| 1811465040 | Delanie Darcelle Kidd | Counselor | 515 High Street, Hamilton, OH 45011 | 2018-11-06 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1912485863 | Heavens Quest LLC | Home Health | 415 North Erie Blvd, Hamilton, OH 45011 | 2018-08-02 |
| 1326532748 | Margaret Phillips | Nurse Practitioner | 5290 Poets Way, Liberty Twp, OH 45011 | 2018-06-19 |
| 1891284386 | Myles Evan Silas | Counselor | 1210 N W Washington Blvd #4, Hamilton, OH 45011 | 2018-05-09 |
| 1295223436 | Taylor Guecking | Counselor | 621 South Erie Highway, Hamilton, OH 45011 | 2018-04-24 |
| 1790282069 | Leroy Thomas Brown | Counselor | 621 South Erie Blvd, Hamilton, OH 45011 | 2018-04-12 |
| Find all providers in zip 45011 | ||||
| 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 |
|---|---|---|---|---|
| 1326645813 | Lumina Imaging | Radiology | 8401 Mentor Ave Ste B, Mentor, OH 44060-5843 | 2020-10-07 |
| 1700490943 | Katrina Overbey | Radiology | 4604 Northridge Dr, Batavia, OH 45103-1329 | 2020-09-04 |
| 1235752981 | Infinity Teleradiology LLC | Radiology | 17365 Lookout Dr, Chagrin Falls, OH 44023-2135 | 2020-05-28 |
| 1811481120 | Northern Ohio Medical Specialists LLC | Radiology | 2800 Hayes Ave Bldg C130, Sandusky, OH 44870-7248 | 2018-06-20 |
| 1922528595 | Advantage Imaging, LLC | Radiology | 1120 Polaris Pkwy Ste 105, Columbus, OH 43240-4042 | 2017-06-23 |
| 1568845279 | Rod Momenian | Radiology | 9500 Euclid Ave # Oh44195, Cleveland, OH 44195-1716 | 2015-06-30 |
| 1356756159 | Jerald Eckman | Radiology | 8645 Mallard Cir, Plain City, OH 43064-6004 | 2014-07-01 |
| 1770995854 | Proscan Womens Imaging At Redbank LLC | Radiology | 11594 Springfield Pike, Suite 26, Cincinnati, OH 45246-3527 | 2014-05-23 |
| 1104248467 | Mobile X Ray Express, LLC | Radiology | 1020 Township Road 145, Ironton, OH 45638-8593 | 2014-01-06 |
| 1356762074 | Edwin Robert Payne | Radiology | 465 Overlook Dr Ne, Lancaster, OH 43130-1918 | 2013-12-23 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTY TWP |
| Zip Code | 45011 |
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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.