Mark A King (NPI# 1952351462, PAC ID# 9638104466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1952351462 |
| PAC ID by PECOS | 9638104466 |
| Professional Enrollment ID | I20050930000110 |
| Full Name | Mark A King |
| Organization Legal Name | OSU RADIOLOGY LLC |
| Address |
150 W Main St New Albany OH 43054-9229 |
| Phone Number | 6142938315 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8921031675 |
| Number of Group Practice Members | 81 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360085 | OHIO STATE UNIVERSITY STATE HEALTH SYSTEM |
| 360242 | JAMES CANCER HOSPITAL & SOLOVE RESEARCH INSTITUTE |
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| 360014 | OHIOHEALTH O'BLENESS HOSPITAL |
| 360035 | MOUNT CARMEL WEST |
| Address | Phone | Organization |
|---|---|---|
| 1145 Olentangy River Rd, Rm 3140, Columbus, OH 43212-3117 | 6142938315 | OSU RADIOLOGY LLC |
| 395 W 12th Ave, Rm 460, Columbus, OH 43210-1267 | 6142938315 | OSU RADIOLOGY LLC |
| 460 W 10th Ave, Fl 4, Columbus, OH 43210-1240 | 6142938315 | OSU RADIOLOGY LLC |
| 150 W Main St, New Albany, OH 43054-9229 | 6142938315 | OSU RADIOLOGY LLC |
| Organization Legal Name | OSU RADIOLOGY LLC |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chiemezie Chianotu Amadi | Diagnostic Radiology | Osu Radiology LLC | 395 W 12th Ave, Rm 460, Columbus, OH 43210-1267 |
| Hooman Khabiri | Diagnostic Radiology | Osu Radiology LLC | 395 W 12th Ave Rm, Suite 460, Columbus, OH 43210-1267 |
| Mitva Jashu Patel | Diagnostic Radiology | Osu Radiology LLC | 460 W 10th Ave, Fl 4, Columbus, OH 43210-1240 |
| Sueann E Treiber | Nurse Practitioner | Osu Radiology LLC | 395 W 12th Ave, Rm 460, Columbus, OH 43210-1267 |
| Eric C Bourekas | Diagnostic Radiology | Osu Radiology LLC | 395 W 12th Ave, Rm 460, Columbus, OH 43210-1267 |
| Scott S Lenobel | Diagnostic Radiology | Osu Radiology LLC | 395 W 12th Ave, Rm 460, Columbus, OH 43210-1267 |
| Joshua K Aalberg | Diagnostic Radiology | Osu Radiology LLC | 460 W 10th Ave, Fl 4, Columbus, OH 43210-1240 |
| Marcella Dardani | Diagnostic Radiology | Osu Radiology LLC | 395 W 12th Ave, Rm 460, Columbus, OH 43210-1267 |
| Andrew M Colvin | Nurse Practitioner | Osu Radiology LLC | 395 W 12th Ave, Rm 460, Columbus, OH 43210-1267 |
| Joici Job | Diagnostic Radiology | Osu Radiology LLC | 395 W 12th Ave, Rm 460, Columbus, OH 43210-1267 |
| Street Address |
150 W MAIN ST |
| City | NEW ALBANY |
| State | OH |
| Zip | 43054-9229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel B Dorris | Clinical Social Worker | Rachel B Dorris, Lcsw, LLC | 150 W Main St, Suite 303, Gallatin, TN 37066-3251 |
| Alison Louise Mackinlay | Family Medicine | Osu Family Practice Services | 150 W Main St, Suite C, New Albany, OH 43054-9265 |
| Julie K Moore | Clinical Social Worker | Rachel B Dorris, Lcsw, LLC | 150 W Main St, Suite 303, Gallatin, TN 37066-3251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Leigh Hendren | Nurse Practitioner | Ohiohealth Corporation | 5868 N Hamilton Rd, Suite 200, New Albany, OH 43054 |
| Todd Edwin Whitaker | Ophthalmology | Northwest Eye Surgeons Inc. | 85 E Main St, New Albany, OH 43054-0509 |
| Diana Lyn Harless | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Andrea D Thompson | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Tamara K Slicer | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Stephen M Canowitz | Pediatric Medicine | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Amanda R Esch | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Misti D Holland | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Nicole D Shroyer | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Melinda K Everman-moore | Nurse Practitioner | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Find all physicians in zip 43054 | |||
| City | NEW ALBANY |
| Zip Code | 43054 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | NEW ALBANY + DIAGNOSTIC RADIOLOGY |
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| 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.