Irene S Kostrubiak (NPI# 1316983133, PAC ID# 6406814136) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1316983133 |
| PAC ID by PECOS | 6406814136 |
| Professional Enrollment ID | I20050315000706 |
| Full Name | Irene S Kostrubiak |
| Organization Legal Name | ADVANCED RADIOLOGY PA |
| Address |
8601 Veterans Hwy Suite 100 Millersville MD 21108-1571 |
| Phone Number | 4434361100 |
| Gender | F |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1980 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1254327950 |
| Number of Group Practice Members | 129 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210015 | MEDSTAR FRANKLIN SQUARE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 4437777150 | ADVANCED RADIOLOGY PA |
| 8601 Veterans Hwy, Suite 100, Millersville, MD 21108-1571 | 4434361100 | ADVANCED RADIOLOGY PA |
| Organization Legal Name | ADVANCED RADIOLOGY PA |
| Physicians | 130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Crouch | Diagnostic Radiology | Advanced Radiology Pa | 8801 Bellancia Dr, Austin, TX 78738-7626 |
| Audrey P Mccarron | Diagnostic Radiology | Advanced Radiology Pa | 11425 Dairy St, Fulton, MD 20759-2662 |
| Clarence C Coleman Jr. | Diagnostic Radiology | Advanced Radiology Pa | 810 Delany Dr, Raleigh, NC 27610-1616 |
| Frank J Welte | Diagnostic Radiology | Advanced Radiology Pa | 112 Corona St, San Francisco, CA 94127-2808 |
| Patricia O Macfarlane | Diagnostic Radiology | Advanced Radiology Pa | 521 W 9th St, Concordia, KS 66901-3319 |
| Jennifer E Bryant | Diagnostic Radiology | Advanced Radiology Pa | 36 Hoffmann Rd, Canton, CT 06019-2123 |
| Holly E Korsvik-wysocki | Diagnostic Radiology | Advanced Radiology Pa | 11913 Tallwood Ct, Potomac, MD 20854-2169 |
| Michael L Hynes | Diagnostic Radiology | Advanced Radiology Pa | 143 Green St, Apt 1, New York, NY 10012-3245 |
| Gregory E Kenyherz | Diagnostic Radiology | Advanced Radiology Pa | 10300 Rainmaker Ct, Reno, NV 89511-5352 |
| Donna Decosta | Diagnostic Radiology | Advanced Radiology Pa | 8601 Veterans Hwy, Suite 100, Millersville, MD 21108-1571 |
| Street Address |
8601 VETERANS HWY SUITE 100 |
| City | MILLERSVILLE |
| State | MD |
| Zip | 21108-1571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna Decosta | Diagnostic Radiology | Advanced Radiology Pa | 8601 Veterans Hwy, Suite 100, Millersville, MD 21108-1571 |
| John Faison | Diagnostic Radiology | Advanced Radiology Pa | 8601 Veterans Hwy, Suite 100, Millersville, MD 21108-1571 |
| James Winthrop | Diagnostic Radiology | Advanced Radiology Pa | 8601 Veterans Hwy, Suite 100, Millersville, MD 21108-1571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob Becker | Chiropractic | Effective Chiropractic Inc | 683 Old Mill Rd, Millersville, MD 21108-1326 |
| Erin L Johnson | Chiropractic | Effective Integrative Healthcare LLC | 681 Old Mill Rd, Millersville, MD 21108-1326 |
| Anthony T Hardnett | Chiropractic | Effective Integrative Healthcare LLC | 681 Old Mill Rd, Millersville, MD 21108-1326 |
| Joseph D Kling | Chiropractic | Effective Integrative Healthcare LLC | 681 Old Mill Rd, Millersville, MD 21108-1326 |
| Leo I Korotki | Physical Medicine and Rehabilitation | Effective Integrative Healthcare LLC | 681 Old Mill Rd, Millersville, MD 21108-1326 |
| Patricia M Denardo | Chiropractic | Effective Integrative Healthcare LLC | 681 Old Mill Rd, Millersville, MD 21108-1326 |
| Aric Adlam | Chiropractic | Effective Integrative Healthcare LLC | 681 Old Mill Rd, Millersville, MD 21108-1326 |
| Angela C Tarjick | Chiropractic | Effective Integrative Healthcare LLC | 681 Old Mill Rd, Millersville, MD 21108-1326 |
| Melissa Giddings Whitaker | Nurse Practitioner | Effective Integrative Healthcare LLC | 681 Old Mill Rd, Millersville, MD 21108-1326 |
| Ameela K Singh | Nurse Practitioner | Effective Integrative Healthcare LLC | 681 Old Mill Rd, Millersville, MD 21108-1326 |
| Find all physicians in zip 21108 | |||
| City | MILLERSVILLE |
| Zip Code | 21108 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MILLERSVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Irene S Kostrubiak.
| 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.