Dean Gardella (NPI# 1174667034, PAC ID# 9931363520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1174667034 |
| PAC ID by PECOS | 9931363520 |
| Professional Enrollment ID | I20131002000218 |
| Full Name | Dean Gardella |
| Organization Legal Name | HACKENSACK RADIOLOGY GROUP PA |
| Address |
2126 Ne 17th Ave Portland OR 97212-4601 |
| Phone Number | 2064095364 |
| Gender | M |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9830096361 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310001 | HACKENSACK UNIVERSITY MEDICAL CENTER |
| 310003 | HACKENSACKUMC PALISADES |
| 310074 | JERSEY CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2019962200 | HACKENSACK RADIOLOGY GROUP PA |
| 30 S Newman St, Hackensack, NJ 07601-3210 | 2014881188 | HACKENSACK RADIOLOGY GROUP PA |
| 2126 Ne 17th Ave, Portland, OR 97212-4601 | 2064095364 | HACKENSACK RADIOLOGY GROUP PA |
| 3225 22nd Ave W, Seattle, WA 98199-2306 | 2014882660116 | HACKENSACK RADIOLOGY GROUP PA |
| Organization Legal Name | HACKENSACK RADIOLOGY GROUP PA |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Bramlette | Diagnostic Radiology | Hackensack Radiology Group Pa | 283 Karen Way, Tiburon, CA 94920-2044 |
| Adriana Danielle Faulkner | Diagnostic Radiology | Hackensack Radiology Group Pa | 4031 Beethoven St, Los Angeles, CA 90066-5111 |
| Sarah Jeanmarie Foster | Diagnostic Radiology | Hackensack Radiology Group Pa | 1408 E Union St, Apt 502, Seattle, WA 98122-4208 |
| Michael T Mcguire | Diagnostic Radiology | Hackensack Radiology Group Pa | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Athena H Lantz | Diagnostic Radiology | Hackensack Radiology Group Pa | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Behrang Litkouhi | Diagnostic Radiology | Hackensack Radiology Group Pa | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Patrick Toth | Diagnostic Radiology | Hackensack Radiology Group Pa | 7600 River Rd, North Bergen, NJ 07047-6217 |
| Biqi Shi | Physician Assistant | Hackensack Radiology Group Pa | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Joshua M Ng | Diagnostic Radiology | Hackensack Radiology Group Pa | 7600 River Rd, North Bergen, NJ 07047-6217 |
| Melissa S Liebling | Diagnostic Radiology | Hackensack Radiology Group Pa | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Street Address |
2126 NE 17TH AVE |
| City | PORTLAND |
| State | OR |
| Zip | 97212-4601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine E Kirkman | Physical Therapy | Therapeutic Associates Inc | 4040 Ne Fremont St, Portland, OR 97212-1952 |
| Caroline Hutcherson | Physical Therapy | Therapeutic Associates Inc | 4040 Ne Fremont St, Portland, OR 97212-1952 |
| Asiya Z Akhgar | Physical Therapy | Therapeutic Associates Inc | 4040 Ne Fremont St, Portland, OR 97212-1952 |
| Dawn S Whitman | Psychologist, Clinical | Western Psychological and Counseling Services PC | 3500 Ne Mlk Blvd, Suite 200, Portland, OR 97212-2093 |
| Scott Robert Kurita | Optometry | Pdx Eye and Vision Care LLC | 2480 Ne Fremont St, Portland, OR 97212-2509 |
| Christopher E Palmer | Optometry | Pdx Eye and Vision Care LLC | 2480 Ne Fremont St, Portland, OR 97212-2509 |
| Armando J Zelada | Optometry | 2480 Ne Fremont St, Portland, OR 97212-2509 | |
| Andrew D Rontal | Neurology | Providence Health and Services Washington | 4101 Ne Stanton St, Portland, OR 97212-2959 |
| Courtney L Vesely | Nurse Practitioner | Knott Street Dermatology PC | 301 Ne Knott St, Portland, OR 97212-3014 |
| Craig R Schultz | Nurse Practitioner | Knott Street Dermatology PC | 301 Ne Knott St, Portland, OR 97212-3014 |
| Find all physicians in zip 97212 | |||
| City | PORTLAND |
| Zip Code | 97212 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PORTLAND + 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.