PROGRESSIVE WELLNESS IMAGING (NPI# 1912080441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912080441 |
Entity Type | Organization |
Organization Name | PROGRESSIVE WELLNESS IMAGING |
Practice Address |
7640 Sylvania Ave Suite A-1 Sylvania OH 43560-9729 |
Practice Telephone | 4195171700 |
Practice Fax Number | 4175171711 |
Mailing Telephone | 4195171700 |
Mailing Fax Number | 4175171711 |
Enumeration Date | 2006-10-20 |
Last Update Date | 2007-10-15 |
Authorized Official Name | MRS. DIANE S MORENO (GENERAL MANAGER) |
Authorized Official Telephone | 4195171700 |
Is Organization Subpart | Y |
Parent Organization Name | PHYSICIANS IMAGING SOLUTIONS II |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
IOG1038601 | OH | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | HEALTH CARE FACILITY LIC | 1187-IC | 01 |
MEDICARE RAILROAD | P00361454 | 01 | |
OH | 2614648 | 05 |
Street Address |
7640 SYLVANIA AVE SUITE A-1 |
City | SYLVANIA |
State | OH |
Zip Code | 43560-9729 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114921095 | Kristin E Woodard | Family Medicine | 7640 Sylvania Ave, Suite K, Sylvania, OH 43560-9729 | 2005-06-09 |
1124670658 | Amy Jo Butler | Nurse Practitioner | 7640 Sylvania Ave, Sylvania, OH 43560-9729 | 2019-07-15 |
1811371834 | Meghan Sue Simpson | Nurse Practitioner | 7640 Sylvania Ave, Suite J, Sylvania, OH 43560-9729 | 2015-07-20 |
1851775399 | Dana M Mccolley | Nurse Practitioner | 7640 Sylvania Ave, Ste J, Sylvania, OH 43560-9729 | 2015-07-15 |
1518345677 | Toledo Cardiology Consultants | Specialist | 7640 Sylvania Ave, Suite H, Sylvania, OH 43560-9729 | 2015-05-09 |
1215343512 | Bounghoon Lee | Dentist | 7640 Sylvania Ave, Suite D, Sylvania, OH 43560-9729 | 2014-07-08 |
1720406994 | Richard D. Sbrocchi Md Facs Inc | Surgery | 7640 Sylvania Ave, Suite N, Sylvania, OH 43560-9729 | 2014-04-03 |
1922422997 | Promedica Genito-urinary Surgeons LLC | Urology | 7640 Sylvania Ave, Suite L, Sylvania, OH 43560-9729 | 2014-02-12 |
1669706537 | Cynthia Pirolli | Massage Therapist | 7640 Sylvania Ave, Suite B1, Sylvania, OH 43560-9729 | 2009-09-25 |
1710140314 | Jason Anthony Smith | Family Medicine | 7640 Sylvania Ave, Suite A-1, Sylvania, OH 43560-9729 | 2008-07-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
Find all providers in zip 43560 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770644569 | Medpro Medical Imaging | Clinic/Center | 5660 Monroe St, Suite 7, Sylvania, OH 43560-2733 | 2006-12-13 |
1407833759 | Toledo Imaging, Inc. | Clinic/Center | 5660 Monroe St, Suite 7, Sylvania, OH 43560-2733 | 2005-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073121521 | Executive Imaging, LLC | Clinic/Center | 1069 Delaware Ave Ste 104, Marion, OH 43302-6459 | 2020-07-21 |
1912532904 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 26151 Euclid Ave Ste 130, Euclid, OH 44132-3300 | 2020-03-10 |
1326510868 | Genetesis, Inc. | Clinic/Center | 5412 Courseview Dr Ste 150, Mason, OH 45040-2483 | 2018-12-21 |
1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
1710417605 | B&d Radiology Partners Pllc | Clinic/Center | 452 Ashsteade Ln, Cincinnati, OH 45255-3710 | 2017-06-14 |
1235671710 | Citran Xray LLC | Clinic/Center | 7774 Dayton Springfield Road, Fairborn, OH 45324-1996 | 2016-11-15 |
1598163164 | Fostoria Hospital Association | Clinic/Center | 455 W 4th St Ste 30, Fostoria, OH 44830-1864 | 2014-12-15 |
1487991360 | Birchcrest Holdings, LLC | Clinic/Center | 19250 Bagley Rd Ste 202, Cleveland, OH 44130 | 2013-01-11 |
1487922548 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 2800 Hayes Ave # Bdlgc130, Sandusky, OH 44870 | 2011-12-05 |
1164726360 | Birchcrest Holdings, LLC | Clinic/Center | 4760 Richmond Rd Ste 300, Cleveland, OH 44128 | 2011-01-03 |
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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.