CAROLINAS DIAGNOSTIC IMAGING LLC (NPI# 1003864299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003864299 |
| Entity Type | Organization |
| Organization Name | CAROLINAS DIAGNOSTIC IMAGING LLC |
| Other Organization Name | NOVANT HEALTH IMAGING ROCK HILL |
| Practice Address |
175 Amendment Ave Ste 101 Rock Hill SC 29732-3042 |
| Mailing Address |
Po Box 603543 Charlotte NC 28260-3543 |
| Practice Telephone | 8035471100 |
| Practice Fax Number | 8035471137 |
| Mailing Telephone | 6783935600 |
| Mailing Fax Number | 7703009018 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2017-07-10 |
| Authorized Official Name | MR. DANIEL J SCHAEFER (COO) |
| Authorized Official Telephone | 7703000101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5902840 | 05 | |
| SC | DOL | 155477800 | 01 |
| MEDICARE RAILROAD | 470001399 | 01 | |
| SC | GP5098 | 05 | |
| SC | SL0048 | 05 |
| Other Name | Type Code |
|---|---|
| Novant Health Imaging Rock Hill | Doing Business As Name - Organization |
| Street Address |
175 AMENDMENT AVE STE 101 |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922427277 | Cane Hoffman | Radiology | 218 Herlong Ave S, Rock Hill, SC 29732-1158 | 2014-04-15 |
| 1144595984 | Lisa T Sayle | Radiology | 218 South Herlong Ave, Rock Hill, SC 29732 | 2012-03-13 |
| 1972546133 | Rock Hill Radiology Associates | Radiology | 218 S Herlong Ave, Rock Hill, SC 29732-1158 | 2006-06-14 |
| 1023061827 | Gregory Allen Jones | Radiology | 222 Herlong Ave S, Rock Hill, SC 29732-1158 | 2006-05-19 |
| 1760724835 | Loren Ashley Buck | Radiology | 222 Herlong Ave S, Rock Hill, SC 29732-1158 | 2013-03-26 |
| 1578874277 | John Michael Gowdy | Radiology | 222 S Herlong Ave, Rock Hill, SC 29732 | 2010-06-28 |
| 1134445364 | Michael F Tabone | Radiology | 222 Herlong Ave S, Rock Hill, SC 29732-1158 | 2010-04-13 |
| 1508890997 | Lawrence Soderstrom | Radiology | 218 S Herlong Ave, Rock Hill, SC 29732-1158 | 2006-07-10 |
| 1922032325 | Bruce Leonard | Radiology | 218 S Herlong Ave, Rock Hill, SC 29732-1158 | 2006-07-10 |
| 1164456562 | Geoffrey T Gilleland | Radiology | 218 S Herlong Ave, Rock Hill, SC 29732-1158 | 2006-07-10 |
| Find all providers in ROCK HILL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.