Jason Alexander Mckellop (NPI# 1215166657, PAC ID# 5193039667) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1215166657 |
| PAC ID by PECOS | 5193039667 |
| Professional Enrollment ID | I20180531001472 |
| Full Name | Jason Alexander Mckellop |
| Organization Legal Name | BEVERLY RADIOLOGY MEDICAL GROUP III |
| Address |
2601 W Alameda Ave Suite 101 Burbank CA 91505-4810 |
| Phone Number | 8188437462 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2009 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3476466376 |
| Number of Group Practice Members | 233 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2601 W Alameda Ave, Suite 101, Burbank, CA 91505-4810 | 8188437462 | BEVERLY RADIOLOGY MEDICAL GROUP III |
| 16311 Ventura Blvd, Suite 120, Encino, CA 91436-4396 | 8188177707 | SAN FERNANDO VALLEY INTERVENTIONAL RADIOLOGY AND IMAGING CENTER |
| Organization Legal Name | BEVERLY RADIOLOGY MEDICAL GROUP III |
| Physicians | 117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deeshali Shah | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 10101 Riverside Dr, Toluca Lake, CA 91602-2517 |
| Joseph P Liu | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 2679 Zoe Ave, Huntington Park, CA 90255-4144 |
| Mitchell A Berner | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 8805 Haven Ave, Suite 120, Rancho Cucamonga, CA 91730-5149 |
| Vinh N Nguyen | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708 |
| Arnold Friedman | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 231 W Fir Ave, Clovis, CA 93611-0220 |
| Shobi Zaidi | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 510 N Prospect, Ave 101, Redondo Beach, CA 90277-3030 |
| Steven P Posner | Vascular Surgery | Beverly Radiology Medical Group IIi | 710 N Euclid St, 102 Anaheim Adv Imag, Anaheim, CA 92801-4122 |
| Curtis S Hammerman | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 1261 Vandeer Dr, Hewlett, NY 11557-2512 |
| John S Tsakonas | Cardiovascular Disease (cardiology) | Beverly Radiology Medical Group IIi | 16130 Ventura Blvd, Encino, CA 91436-2503 |
| Mark Ivan Williams | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 3320 N Los Coyotes Diagonal, Suite 112260, Long Beach, CA 90808-3918 |
| Street Address |
2601 W ALAMEDA AVE SUITE 101 |
| City | BURBANK |
| State | CA |
| Zip | 91505-4810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shahin Chandrasoma | Urology | Urology Associates Medical Group | 2601 W Alameda Ave, Suite 416, Burbank, CA 91505-4814 |
| Raymond A Shofler | General Surgery | 2601 W Alameda Ave, Suite 314, Burbank, CA 91505-4812 | |
| Farid Eghbali | Optometry | Eghbali Medical Surgical Inc | 2601 W Alameda Ave, Suite 204, Burbank, CA 91505-4810 |
| Suhas W Tuli | Ophthalmology | 2601 W Alameda Ave, Suite 206, Burbank, CA 91505-4810 | |
| Shadi Yadegaran | Podiatry | Professional Foot and Ankle Center Inc | 2601 W Alameda Ave, Suite 208, Bubank, CA 91505-4810 |
| Armin Feradouni Nejad | Podiatry | Professional Foot and Ankle Center Inc | 2601 W Alameda Ave, Suite 208, Bubank, CA 91505-4810 |
| Theodore S Feit | Diagnostic Radiology | 2601 W Alameda Ave, Suite 310, Burbank, CA 91505-4182 | |
| Leon Noubar Partamian | Family Medicine | 2601 W Alameda Ave, Suite 304, Burbank, CA 91505-4812 | |
| Mohammad Daood | Cardiovascular Disease (cardiology) | 2601 W Alameda Ave, Suite 202, Burbank, CA 91505-4810 | |
| Philip I Weintraub | Urology | Urology Associates Medical Group | 2601 W Alameda Ave, Suite 416, Burbank, CA 91505-4814 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Kwan Dea | Pulmonary Disease | 2701 W Alamed, Suite 601, Burbank, CA 91505 | |
| Tu H Duong | Internal Medicine | Roberto A. Beaton, M.d., Inc. | 4314 W Victory Blvd, Burbank, CA 91505-1334 |
| Alina C Beaton | Internal Medicine | Roberto A. Beaton, M.d., Inc. | 4314 W Victory Blvd, Burbank, CA 91505-1334 |
| Roberto A Beaton | Internal Medicine | Roberto A. Beaton, M.d., Inc. | 4314 W Victory Blvd, Burbank, CA 91505-1334 |
| Yeong An Sheu | Gastroenterology | 4314 W Victory Blvd, Burbank, CA 91505-1334 | |
| Irvin S Benowitz | General Practice | Roberto A. Beaton, M.d., Inc. | 4314 W Victory Blvd, Burbank, CA 91505-1334 |
| Alen Khachatourian | Chiropractic | 3404 W Victory Blvd, Burbank, CA 91505-1544 | |
| Amanda Corona | Physical Therapy | Vargo Physical Therapy, Inc. | 3425 W Victory Blvd, Burbank, CA 91505-1545 |
| Erin Nicole Dougherty | Physical Therapy | Vargo Physical Therapy, Inc. | 3425 W Victory Blvd, Burbank, CA 91505-1545 |
| Katherine Joan Chin | Physician Assistant | Burbank Occupational Health Center Inc | 3413 W Pacific Ave, Suite 102, Burbank, CA 91505-1555 |
| Find all physicians in zip 91505 | |||
| City | BURBANK |
| Zip Code | 91505 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BURBANK + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jason Alexander Mckellop.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.