QMB RADIOLOGY LLC (NPI# 1891034229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891034229 |
| Entity Type | Organization |
| Organization Name | QMB RADIOLOGY LLC |
| Practice Address |
35629 Highway 72 Salem MO 65560-7217 |
| Mailing Address |
104 Country Creek Ct Ballwin MO 63011-3812 |
| Practice Telephone | 3145503494 |
| Practice Fax Number | 6362305732 |
| Mailing Telephone | 3145503494 |
| Mailing Fax Number | 6362305732 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |
| Authorized Official Name | DR. QASIM MUSTAFA BAJWA (PRESIDENT) |
| Authorized Official Telephone | 3145503494 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 102285 | MO | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 207708611 | 05 |
| Street Address |
35629 HIGHWAY 72 |
| City | SALEM |
| State | MO |
| Zip Code | 65560-7217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177561 | Salem Memorial Hospital | General Acute Care Hospital | 35629 Highway 72, Salem, MO 65560-7217 | 2005-07-13 |
| 1760966188 | Mandi Nicole Parks | Nurse Practitioner | 35629 Highway 72, Salem, MO 65560-7217 | 2018-09-21 |
| 1851891709 | Jill Dean | Occupational Therapy Assistant | 35629 Highway 72, Salem, MO 65560-7217 | 2018-02-16 |
| 1902346240 | Sarah Knott | Physical Therapy Assistant | 35629 Highway 72, Salem, MO 65560-7217 | 2017-03-06 |
| 1306226998 | Zachary Moser | Pharmacist | 35629 Highway 72, Salem, MO 65560-7217 | 2015-06-09 |
| 1730566274 | Melody Marie Montgomery | Pharmacist | 35629 Highway 72, Salem, MO 65560-7217 | 2015-05-05 |
| 1548682339 | Nicole L Hancock | Dietitian, Registered | 35629 Highway 72, Salem, MO 65560-7217 | 2014-01-13 |
| 1922345800 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72, Building 1, Salem, MO 65560-7217 | 2013-01-11 |
| 1255661690 | Radex, Inc | Radiologic Technologist | 35629 Highway 72, Salem, MO 65560-7217 | 2010-01-07 |
| 1114062387 | Anne M Delonais-turner | Emergency Medicine | 35629 Highway 72, Salem, MO 65560-7217 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1174959142 | Britney Nicole Christesen | Chiropractor | 909 S Pershing Ave, Salem, MO 65560 | 2013-09-22 |
| 1245550474 | Amber Nicole Duncan | Chiropractor | 803 W 32 Hwy, Suite B, Salem, MO 65560 | 2010-06-10 |
| 1043460371 | Tina Marie Mcmullin | Counselor | 601 East Center Street, Salem, MO 65560 | 2008-09-23 |
| 1225286347 | Craig Tatom | Nurse Practitioner | Hwy 72 N Physicians Office Building II, Salem, MO 65560 | 2008-09-03 |
| 1114190576 | Jamie Johnston Wilson | Registered Nurse | Hwy 72 West, Salem, MO 65560 | 2008-04-08 |
| 1750589024 | Vicky L Gulley | Emergency Medicine | 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 | 2007-07-06 |
| 1275669533 | Complete Care, Inc | Durable Medical Equipment & Medical Supplies | 116 W. 4th, Salem, MO 65560 | 2007-02-23 |
| 1023083722 | Brent K. Caudill | General Practice | Hwy 72 N, Salem, MO 65560 | 2006-02-17 |
| 1750369369 | Charles W Cunningham | Family Medicine | 1010 E Scenic Rivers Blvd, Salem, MO 65560 | 2006-01-04 |
| Find all providers in zip 65560 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598826752 | Washington County Memorial Hospital | Radiologic Technologist | 125 Spring Meadow Cir, Salem, IN 47167-9429 | 2006-12-12 |
| 1134498546 | Peter A Messina II | Radiologic Technologist | 23 Stiles Rd, Salem, NH 03079-2859 | 2011-12-14 |
| 1255661690 | Radex, Inc | Radiologic Technologist | 35629 Highway 72, Salem, MO 65560-7217 | 2010-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306225412 | Joseph Parks | Radiologic Technologist | 412 Treetop Village Ct, Ballwin, MO 63021-7456 | 2015-05-21 |
| 1164661179 | Mary Ellen Ash | Radiologic Technologist | 407 S Park Ave, Saint Louis, MO 63119-4151 | 2009-02-13 |
| 1689855421 | Linda Kay Goddard | Radiologic Technologist | 7804 Clevedon St, Saint Louis, MO 63123-3822 | 2007-11-20 |
| 1891984951 | Mid-america X-ray LLC | Radiologic Technologist | 1711 Taylor St., Lexington, MO 64067-1153 | 2007-10-15 |
| 1831301639 | Dan T Sullivan | Radiologic Technologist | 3780 E Pond Apple Dr, Springfield, MO 65809-4147 | 2007-05-04 |
| 1659496636 | Nancy Schultheis | Radiologic Technologist | 9856 Scottdale Dr, Saint Louis, MO 63136-1955 | 2007-03-20 |
| 1831124478 | Kathleen A Rogers | Radiologic Technologist | 5273 S Aaron Ave, Springfield, MO 65810-2879 | 2006-07-12 |
| 1295279636 | Cassie Elrod | Radiologic Technologist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2016-12-04 |
| 1053864835 | Robert Fred Vandeborne | Radiologic Technologist | 12647 Olive Blvd, Suite 600, Saint Louis, MO 63141-6393 | 2016-07-28 |
| 1396155636 | Heartland Regional Medical Center | Radiologic Technologist | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2014-05-07 |
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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.