CANTON RADIOLOGY SERVICES, S.C. (NPI# 1972535607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972535607 |
| Entity Type | Organization |
| Organization Name | CANTON RADIOLOGY SERVICES, S.C. |
| Practice Address |
210 W Walnut St Canton IL 61520-2444 |
| Mailing Address |
Po Box 10140 Peoria IL 61612-0140 |
| Practice Telephone | 8778524669 |
| Mailing Telephone | 8778524669 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-05-12 |
| Authorized Official Name | MUHAMMAD ZAHEER (PRESIDENT) |
| Authorized Official Telephone | 8778524669 |
| Authorized Official Credential | M.D. |
| 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 |
|---|---|---|---|
| IL | RAILROAD MEDICARE | CE5079 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 07215055 | 01 |
| Street Address |
210 W WALNUT ST |
| City | CANTON |
| State | IL |
| Zip Code | 61520-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540559 | Andrew Roudebush | Family Medicine | 210 W Walnut St, Canton, IL 61520-2444 | 2005-07-04 |
| 1063046464 | Dara Marie Wagner | Nurse Practitioner | 210 W Walnut St, Canton, IL 61520-2444 | 2020-02-25 |
| 1235699893 | Christina Willey | Occupational Therapist | 210 W Walnut St, Canton, IL 61520-2444 | 2019-03-20 |
| 1487174744 | Joshua J Wilkinson | Nurse Practitioner | 210 W Walnut St, Canton, IL 61520-2444 | 2017-06-27 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1790143683 | Midwest Mobile Anesthesia Consultants, Sc | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520-2444 | 2016-02-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1932530938 | Amy Sammis | Dietitian, Registered | 210 W Walnut St, Canton, IL 61520-2444 | 2013-12-02 |
| 1609111988 | William Severt | Physical Therapist | 210 W Walnut St, Canton, IL 61520-2444 | 2012-11-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1417261041 | Erin Kathleen Buckley | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520 | 2010-08-06 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| 1568063428 | Mary J Eberle | Pharmacist | 2071 N Main St, Canton, IL 61520-1032 | 2020-11-05 |
| 1659970267 | Amanda Sue Kinne | Pharmacist | 2071 N Main St, Canton, IL 61520-1032 | 2020-10-23 |
| 1952879132 | Loft Rehabilitation and Nursing of Canton LLC | Skilled Nursing Facility | 2081 N Main St, Canton, IL 61520-1032 | 2018-11-06 |
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| 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 |
|---|---|---|---|---|
| 1578061636 | Subspecialty Imaging, LLC | Radiology | 1495 Hickory Flat Hwy Ste 150, Canton, GA 30115-4229 | 2018-01-24 |
| 1649566183 | Guillermo Zaldivar | Radiology | 6877 Chillingsworth Cir Nw, Canton, OH 44718-1571 | 2011-06-23 |
| 1417113044 | Adnan Ali Fateh | Radiology | 42186 Saratoga Cir, Canton, MI 48187-3535 | 2008-08-04 |
| 1861560013 | Radiology Services of Stark County Inc | Radiology | 4525 Saint James Cir Nw, Canton, OH 44708-8902 | 2006-12-04 |
| 1396751426 | Jennifer Elizabeth Bryant | Radiology | 36 Hoffmann Rd, Canton, CT 06019-2123 | 2006-07-31 |
| 1144280397 | Maria Crumes M.d. P.C. | Radiology | 49086 Crescent Dr, Canton, MI 48187-6671 | 2006-03-23 |
| 1659374262 | Bradley Robert Peters | Radiology | 200 Oakside Ln, Ste A, Canton, GA 30114-6416 | 2005-05-27 |
| 1154784619 | On-demand Provider PC | Radiology | 44237 Michigan Ave, Canton, MI 48188-2584 | 2016-04-01 |
| 1558755843 | Stephen A. Snodgrass | Radiology | 2600 6th St Sw, Canton, OH 44710-1702 | 2015-03-24 |
| 1841633351 | David Angari | Radiology | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2013-04-15 |
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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.