PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER, LLC (NPI# 1790211811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790211811 |
Entity Type | Organization |
Organization Name | PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER, LLC |
Other Organization Name | MEDSTAR RADIOLOGY NETWORK AT TIMONIUM |
Practice Address |
2118 Greenspring Dr Suite 100 Timonium MD 21093 |
Mailing Address |
840 Crescent Centre Dr Suite 200 Franklin TN 37067-4626 |
Practice Telephone | 4434701070 |
Mailing Telephone | 6152612306 |
Enumeration Date | 2017-05-10 |
Last Update Date | 2020-10-30 |
Authorized Official Name | WILLIAM P. BAKER (SECRETARY) |
Authorized Official Telephone | 6152612306 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 309803600 | 05 |
Other Name | Type Code |
---|---|
Medstar Radiology Network at Timonium | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760083281 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 5530 Wisconsin Ave Ste 1010, Chevy Chase, MD 20815-4324 | 2020-11-02 |
1588204614 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 3301 New Mexico Ave Nw Ste 324, Washington, DC 20016-3613 | 2020-01-07 |
1144677741 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 1120 20th St Nw, Washington, DC 20036-3406 | 2016-05-24 |
1346604295 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 13950 Bradywine Road, Brandywine, MD 20613 | 2016-04-07 |
1700246022 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 12 Medstar Blvd, Bel Air, MD 21015-1798 | 2016-02-29 |
Street Address |
2118 GREENSPRING DR SUITE 100 |
City | TIMONIUM |
State | MD |
Zip Code | 21093 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699926410 | Morvarid Yousefi | Physical Medicine & Rehabilitation | 2118 Greenspring Dr, Timonium, MD 21093 | 2008-10-10 |
1508360744 | Jonathan William Rouse | Physical Therapist | 2118 Greenspring Dr, Timonium, MD 21093-3112 | 2018-03-21 |
1033635206 | Medstar Surgery Center At Timonium, LLC | Clinic/Center | 2118 Greenspring Dr, Timonium, MD 21093-3112 | 2017-08-18 |
1295006252 | Stephanie Ann Mclain | Specialist/Technologist | 2118 Greenspring Dr, Timonium, MD 21093-3112 | 2012-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
Find all providers in zip 21093 |
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 |
---|---|---|---|---|
1003888488 | Jamshid Danaie | Radiology | 26 Yorkview Dr, Timonium, MD 21093-3221 | 2006-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760083281 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 5530 Wisconsin Ave Ste 1010, Chevy Chase, MD 20815-4324 | 2020-11-02 |
1326648346 | Physician Imaging of Washington Hospital Center LLC | Radiology | 3202 Tower Oaks Blvd Ste 120, Rockville, MD 20852-4263 | 2020-10-28 |
1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
1841703410 | Los Robles Radiologic Associates | Radiology | 7903 Terrapin Ct, Pikesville, MD 21208-3126 | 2017-11-06 |
1861905432 | Los Robles Radiologic Associates | Radiology | 9712 W Bexhill Dr, Kensington, MD 20895-3530 | 2017-11-06 |
1467993386 | Iv Radiology Medical Group | Radiology | 10000 Town Center Ave, Apt 244, Columbia, MD 21044-5418 | 2017-03-10 |
1962854166 | Michael Louis Sherman | Radiology | 11304 John Carroll Rd, Owings Mills, MD 21117-1658 | 2016-07-12 |
1346604295 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 13950 Bradywine Road, Brandywine, MD 20613 | 2016-04-07 |
1700253473 | Peter Choyke | Radiology | Molecular Imaging Program Nci, Building 10, Room B3b69f, Bethesda, MD 20892-0001 | 2015-08-28 |
1235510983 | David Jinkyu Lee | Radiology | 601 N Caroline St # 3251, Baltimore, MD 21287-0006 | 2015-06-17 |
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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.