EARLY DETECTION IMAGING, LLC (NPI# 1972664324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972664324 |
Entity Type | Organization |
Organization Name | EARLY DETECTION IMAGING, LLC |
Practice Address |
525 N Eastown Rd Lima OH 45807-2268 |
Mailing Address |
Po Box 58 Lima OH 45802-0058 |
Practice Telephone | 4199984498 |
Mailing Telephone | 4192245707 |
Mailing Fax Number | 4192290040 |
Enumeration Date | 2006-12-12 |
Last Update Date | 2012-07-27 |
Authorized Official Name | DARLENE D WEYER (PRESIDENT) |
Authorized Official Telephone | 4199984498 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
Street Address |
525 N EASTOWN RD |
City | LIMA |
State | OH |
Zip Code | 45807-2268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124086574 | Praveen Kumar Malhotra | Legal Medicine | 525 N Eastown Rd, Lima, OH 45807-2268 | 2006-05-03 |
1962862847 | Lmh Heart Institute of Northwest Ohio, LLC | Internal Medicine | 525 N Eastown Rd, Suite A, Lima, OH 45807-2268 | 2016-03-04 |
1578862058 | Vernon Ryan Watty | Family Medicine | 525 N Eastown Rd, Suite A, Lima, OH 45807-2268 | 2011-03-23 |
1821237801 | Stanley W Carder | Counselor | 525 N Eastown Rd, Lima, OH 45807-2268 | 2009-02-13 |
1083800908 | Hope Cancer Center of Northwest Ohio | Internal Medicine | 525 N Eastown Rd, Lima, OH 45807-2268 | 2007-09-25 |
1003931023 | Lima Memorial Professional Corporation | Special Hospital | 525 N Eastown Rd, Lima, OH 45807-2268 | 2007-03-20 |
1740226406 | Vicki L Lear | Physician Assistant | 525 N Eastown Rd, Lima, OH 45807-2268 | 2006-06-21 |
1538113253 | Emmanuel Juane Tabora | Family Medicine | 525 N Eastown Rd, Suite A, Lima, OH 45807-2268 | 2006-05-19 |
1477505055 | Laura J Waldron | Family Medicine | 525 N Eastown Rd, Lima, OH 45807-2268 | 2006-05-16 |
1518917079 | Raymond J Miller | Family Medicine | 525 N Eastown Rd, Suite D, Lima, OH 45807-2268 | 2006-05-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871849828 | Ashton J. Crook | Nurse Practitioner | 3224 Jarvis Drive, Lima, OH 45807 | 2012-07-27 |
1093935140 | Lucy Marie Garland | Registered Nurse | 7070 Billymack Rd, Elida, OH 45807 | 2007-04-30 |
1629164728 | Kent Brandeberry | Family Medicine | 3224 Jarvis Dr, Lima, OH 45807 | 2006-10-05 |
1548557762 | Lima Cancer and Blood Disease Center Inc | Internal Medicine | 375 N Eastown Rd, Suite C, Lima, OH 45807 | 2011-07-08 |
1023031903 | Physicians Inc | Internal Medicine | 750 W High St, Suite 250, Lima, OH 45807 | 2006-07-25 |
1245501303 | Vickie Leeann Levan | Registered Nurse | 200 Baxter St, Elida, OH 45807-1005 | 2012-01-21 |
1255804969 | Julia M Smith | Student in an Organized Health Care Education/Training Program | 324 Baxter St, Elida, OH 45807-1007 | 2019-01-04 |
1871669317 | Steven Merritt Jones | Dentist | 409 E Kiracofe Ave, Elida, OH 45807-1031 | 2006-11-27 |
1356445084 | Todd R Bullinger | Chiropractor | 415 E Kiracofe Ave, Elida, OH 45807-1031 | 2006-09-12 |
1336590165 | Mary E Wiechart | Dentist | 409 E Kiracofe Ave, Lima, OH 45807-1031 | 2016-06-22 |
Find all providers in zip 45807 |
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 |
---|---|---|---|---|
1780647560 | Eric V Jelinger | Radiology | 850 Tiqua Trail, Lima, OH 45805-4705 | 2006-04-11 |
1144209420 | Hassan B Semaan | Radiology | 4132 Elida Rd, Lima, OH 45807-1548 | 2006-01-13 |
1962401182 | Daniel C Schultz | Radiology | 1001 Bellefontaine Avenue, Lima Memorial Health System, Lima, OH 45804-2800 | 2005-07-19 |
1639375389 | Robert Cook | Radiology | 730 W Market St, Lima, OH 45801-4602 | 2007-06-21 |
1275742629 | Jeffrey Alan Miller | Radiology | 730 W Market St, Lima, OH 45801-4602 | 2007-05-22 |
1740301159 | Andrew J Rabe | Radiology | 730 W Market St, Lima, OH 45801-4602 | 2007-04-03 |
1750492450 | Hicham Anis Moukaddam | Radiology | 730 W Market St, Lima, OH 45801-4602 | 2006-08-31 |
1811912819 | Nicole Ann Nelson | Radiology | 730 W Market St, Lima, OH 45801-4602 | 2006-07-12 |
1396772174 | Alan Peter Schlesinger | Radiology | 1001 Bellefontaine Avenue, Fsh Radiology, Inc., Lima, OH 45804-2800 | 2006-06-27 |
1710943691 | Brett A Rush | Radiology | 730 W Market St, Lima, OH 45801-4602 | 2006-04-21 |
Find all providers in LIMA |
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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.