Anthony J Di Re (NPI# 1093769259, PAC ID# 7113938580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1093769259 |
| PAC ID by PECOS | 7113938580 |
| Professional Enrollment ID | I20060814000027 |
| Full Name | Anthony J Di Re |
| Organization Legal Name | BRIDGEPORT MEDICAL IMAGING, LLC |
| Address |
18040 Swlower Boones Ferry Rd Suite 106 Tigard OR 97224-7259 |
| Phone Number | 5032168400 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3173670411 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| 381303 | PROVIDENCE SEASIDE HOSPITAL |
| 380037 | PROVIDENCE NEWBERG MEDICAL CENTER |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 | 5032168400 | BRIDGEPORT MEDICAL IMAGING, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | BRIDGEPORT MEDICAL IMAGING, LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James S Putnam | Interventional Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Darshan Acharya | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Steven E Zinck | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Charles Kosydar | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Jason Brad Hobbs | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Kevin M Wiesmann | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Ross A Cauthorn | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Lee W Ball | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Gregory L Beagle | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Lloyd E Heller | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Street Address |
18040 SWLOWER BOONES FERRY RD SUITE 106 |
| City | TIGARD |
| State | OR |
| Zip | 97224-7259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James S Putnam | Interventional Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Darshan Acharya | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Steven E Zinck | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Charles Kosydar | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Jason Brad Hobbs | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Kevin M Wiesmann | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Ross A Cauthorn | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Lee W Ball | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Gregory L Beagle | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Lloyd E Heller | Diagnostic Radiology | Bridgeport Medical Imaging, LLC | 18040 Swlower Boones Ferry Rd, Suite 106, Tigard, OR 97224-7259 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan M Cokeley | Chiropractic | Cornerstone Chiropractic, LLC | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 |
| Christopher D Tollenaar | Chiropractic | Cornerstone Chiropractic, LLC | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 |
| Ejiro C Isiorho | Podiatry | 11515 Sw Durham Rd, Suite 1, Tigard, OR 97224-3746 | |
| Nathaniel Roland | Optometry | Eye Health Northwest P.C. | 15298 Sw Royalty Pkwy, Tigard, OR 97224-3904 |
| Amber G Dunn | Optometry | 15405 Sw 116th Ave, Suite 204, King City, OR 97224-4101 | |
| Kimberley W Dotson | Audiologist | 15405 Sw 116th Ave, Suite 200, King City, OR 97224-4105 | |
| Judy Miller | Clinical Psychologist | 10445 Sw Canterburry Ln, Tigard, OR 97224-4811 | |
| Lenore Lefebvre | Clinical Social Worker | 16565 Sw Meadowood Way, Tigard, OR 97224-5430 | |
| Scott R Grewe | Orthopedic Surgery | Orthopedics Northwest, PC | 15755 Sw Sequoia Pkwy, Suite 200, Tigard, OR 97224-7166 |
| Carmen M Jones | Physician Assistant | Orthopedics Northwest, PC | 15755 Sw Sequoia Pkwy, Suite 200, Tigard, OR 97224-7166 |
| Find all physicians in zip 97224 | |||
| City | TIGARD |
| Zip Code | 97224 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | TIGARD + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Anthony J Di Re.
| 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.