CLINTON RADIOLOGY PSC


Address: 610 W Main St, Wilmington, OH 45177-2125
Phone: 9373829353

CLINTON RADIOLOGY PSC (NPI# 1841247566) 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) 1841247566
Entity Type Organization
Organization Name CLINTON RADIOLOGY PSC
Practice Address 610 W Main St
Wilmington
OH 45177-2125
Mailing Address Po Box 865
Wilmington
OH 45177-0865
Practice Telephone 9373829353
Practice Fax Number 9373826633
Mailing Telephone 5138522451
Enumeration Date 2006-05-28
Last Update Date 2008-04-20
Authorized Official Name JAMES P HAVEY (PRESIDENT)
Authorized Official Telephone 9373829353
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE RAILROAD CF4981 01
OH 0455225 05
ANTHEM 000000004057 01

Office Location

Street Address 610 W MAIN ST
City WILMINGTON
State OH
Zip Code 45177-2125

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356329890 Professional Emergency Specialists of Southern Ohio Emergency Medicine 610 W Main St, Wilmington, OH 45177-2125 2006-01-05
1881200475 Adfinitas Health of Ohio, LLC Hospitalist 610 W Main St, Wilmington, OH 45177-2194 2020-09-18
1194265728 Assurance Health Wilmington, LLC Psychiatric Unit 610 W Main St, Wilmington, OH 45177-2125 2017-03-01
1952858797 Kyle Fenner Physician Assistant 610 W Main St, Wilmington, OH 45177-2125 2016-09-09
1326594748 Blaine Hill Emergency Physicians, LLC Physician Assistant 610 W Main St, Wilmington, OH 45177-2125 2016-08-26
1396291720 Good River Emergency Physicians, LLC Physician Assistant 610 W Main St, Wilmington, OH 45177-2125 2016-08-26
1730632100 Lurajean Cravens Nurse Practitioner 610 W Main St, Wilmington, OH 45177-2125 2016-08-02
1194177865 Melissa Storer Nurse Practitioner 610 W Main St, Wilmington, OH 45177-2125 2016-07-06
1831571009 Syed T Ahsan Internal Medicine 610 W Main St, Wilmington, OH 45177-2125 2015-06-24
1780071696 Benjamin Herendeen Physician Assistant 610 W Main St, Wilmington, OH 45177-2125 2015-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710542220 Kratzer Pharmacy Inc. Pharmacy 187 W Locust St, Wilmington, OH 45177 2019-05-09
1639642754 Jerrica Kimber Smith Physical Therapy Assistant 175 Cape May Dr., Therapy Suite, Wilmington, OH 45177 2019-01-11
1083187280 Heather Freytag Physical Therapy Assistant 175 Cape May Drive, Wilmington, OH 45177 2019-01-10
1740780865 Greater Tomorrow Wellness, LLC Physician Assistant 1097 W Locust St, Wilmington, OH 45177 2018-02-15
1144632431 Orion Rehabilitation Center, Inc. Day Training, Developmentally Disabled Services 4595 State Route 730, Wilmington, OH 45177 2014-05-21
1841546975 Kathleen Michelle Miller Nurse Practitioner 610 West Main Street, Emergency Department, Wilmington, OH 45177 2012-07-26
1952693590 John K Loudermilk Inc. Dentist 260 W. Locust St., Wilmington, OH 45177 2011-05-13
1619209475 Premier Health Care LLC Clinic/Center 2845 Progress Way, Wilmington, OH 45177 2010-02-04
1417179474 Larry Alan Howard Specialist/Technologist Wilmington College, 1870 Quaker Way, Box 1246, Wilmington, OH 45177 2007-05-02
1659494425 Alan Robert Thompson Chiropractor 39 North South Street, Wilmington, OH 45177 2007-04-09
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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
1326305566 Airlie Radiology Pa Radiology 1318 Airlie Rd, Wilmington, NC 28403-3727 2012-04-12
1871865956 Telerad of De Account Managment, LLC Radiology 340 S. Madison St #706, Wilmington, DE 19801-0000 2012-02-03
1326363136 Kerner Radiology Associates, Pa Radiology 430 Eastwood Rd, Suite 200, Wilmington, NC 28403-1870 2010-04-05
1205165214 George William Eason Md Radiology 1312 Airlie Rd, Unit 2, Wilmington, NC 28403-3727 2009-12-22
1306073341 Cyril Milunsky Radiology 607 Haverhill Rd, Wilmington, DE 19803-2402 2009-06-17
1609970912 Claire Coggins Radiology 2506 Delaware Ave, Wilmington, DE 19806-1220 2006-09-08
1861423675 Steven A Ebner Radiology 12 Camp David Rd, Wilmington, DE 19810-3260 2006-07-06
1194778217 Intelligent Imaging Resources LLC Radiology 1661 Rombach Ave, Wilmington, OH 45177-1965 2006-05-18
1720045214 Brandywine Imaging Enterprises LLC Radiology 3206 Concord Pike, Wilmington, DE 19803-5015 2006-04-27
1942260088 Mark Garcia Radiology 701 N. Clayton St, Medical Office Building Suite 401, Wilmington, DE 19805 2006-03-24
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City WILMINGTON
Zip Code 45177

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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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