MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC (NPI# 1770622870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770622870 |
| Entity Type | Organization |
| Organization Name | MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC |
| Practice Address |
3824 Northern Pike Monroeville PA 15146 |
| Mailing Address |
3824 Northern Pike Suite 200 Monroeville PA 15146 |
| Practice Telephone | 4123736342 |
| Practice Fax Number | 4123736347 |
| Mailing Telephone | 4124570060 |
| Mailing Fax Number | 4124570067 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2009-01-28 |
| Authorized Official Name | DANA WARDLOW (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7249356280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1012938680001 | 05 | |
| HIGHMARK | 001736377 | 01 | |
| GATEWAY | 1547029 | 01 | |
| RAILROAD MEDICARE | P00271297 | 01 | |
| AETNA | 7593730 | 01 |
| Street Address |
3824 NORTHERN PIKE |
| City | MONROEVILLE |
| State | PA |
| Zip Code | 15146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034158 | Irving Sass Gottfried | Internal Medicine | 3824 Northern Pike, Ste 830, Monroeville, PA 15146-2141 | 2005-09-27 |
| 1477058105 | Luann Caryl | Nurse Practitioner | 3824 Northern Pike, Ste 700, Monroeville, PA 15146-2184 | 2018-03-26 |
| 1568818755 | Premier Medical Associates, PC | Internal Medicine | 3824 Northern Pike, Ste 415, Monroeville, PA 15146-2141 | 2016-05-06 |
| 1679930317 | Premier Medical Associates, PC | Podiatrist | 3824 Northern Pike, Ste 960, Monroeville, PA 15146-2141 | 2016-01-26 |
| 1982088936 | Premier Medical Associates, PC | Pain Medicine | 3824 Northern Pike, Ste 960, Monroeville, PA 15146-2141 | 2015-07-18 |
| 1164852844 | Erin Flynn Davis | Nurse Practitioner | 3824 Northern Pike, Ste 525, Monroeville, PA 15146 | 2013-11-18 |
| 1215378260 | Emily Ann Stoy | Physician Assistant | 3824 Northern Pike, Ste 200, Monroeville, PA 15146-2141 | 2013-07-07 |
| 1851634752 | Premier Medical Associates, PC | Clinical Medical Laboratory | 3824 Northern Pike, Ste 650, Monroeville, PA 15146-2141 | 2013-03-29 |
| 1376804468 | Nufayl Khan | Family Medicine | 3824 Northern Pike, Ste 200, Monroeville, PA 15146-2141 | 2012-06-05 |
| 1366723850 | Ryan J. Hertweck | Physician Assistant | 3824 Northern Pike, Ste 900, Monroeville, PA 15146-2141 | 2011-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217259 | Danielle Ulrich | Nurse Practitioner | 2626 Haymaker Road, Second Floor, Monroeville, PA 15146 | 2019-10-25 |
| 1659841286 | Catherine Mcewen Wilson | Social Worker | 339 Old Haymaker Road Suite 1102, Monroeville, PA 15146 | 2018-11-27 |
| 1750865432 | Diane Beth Alm | Dietitian, Registered | 2775 Mosside Boulevard Upmc East, Monroeville, PA 15146 | 2018-09-19 |
| 1477040673 | Kyle Hulsebus | Counselor | 339 Haymaker Rd Ste 1102, Monroeville, PA 15146 | 2018-04-13 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| 1801264163 | Danielle Wymard-tomlinson | Nurse Practitioner | 2570 Haymaker Rd Forbes Regional Hospital, Hospital Associates of Pittsburgh, Monroeville, PA 15146 | 2015-09-03 |
| 1902295421 | Andrea Kolano | Speech-Language Pathologist | 244 Center Road, Suite 205, Monroeville, PA 15146 | 2015-01-21 |
| 1366847592 | Grace Wagner | Counselor | 4314 Old William Penn Highway, Suite 204, Monroeville, PA 15146 | 2014-10-30 |
| 1093114001 | Stephanie Crishi | Speech-Language Pathologist | 4124 Monroeville Blvd, Monroeville, PA 15146 | 2014-08-14 |
| 1285052183 | Suzanne Oravetz | Specialist/Technologist | 2550 Mosside Boulevard, Monroeville, PA 15146 | 2014-03-29 |
| Find all providers in zip 15146 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1215475090 | World Wellness Health Institute | Clinic/Center | 111 Presidential Blvd Ste 159, Bala Cynwyd, PA 19004-1005 | 2017-02-01 |
| 1851842355 | Infinity Care Inc | Clinic/Center | 4 Averstone Ct, Holland, PA 18966-2610 | 2016-10-19 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1467606558 | Sherry S Shang LLC | Clinic/Center | 384 Yorkshire Rd, Bryn Mawr, PA 19010-1216 | 2008-11-17 |
| 1386812196 | James Dennis Flynn | Clinic/Center | 6599 Town Center Blvd Apt 423, James Dennis Flynn, Huntingdon, PA 16652 | 2008-02-14 |
| 1831371152 | Futura Health System | Clinic/Center | 1300 Chestnut St, Suite 305, Philadelphia, PA 19107-4513 | 2007-11-28 |
| 1598961930 | Pmx Provider Services Corporation | Clinic/Center | 501 Gainsboro Road, Drexel Hill, PA 19026-1213 | 2007-06-22 |
| 1215132709 | Us Vascular Access Center of Philadelphia, LLC | Clinic/Center | 4220 Market St, Second Floor, Philadelphia, PA 19104-3007 | 2007-06-15 |
| Find all providers with the same taxonomy | ||||
| City | MONROEVILLE |
| Zip Code | 15146 |
Please comment or provide details below to improve the information on MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC.
| 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.