IMAGING PROFESSIONALS OF PENNSYLVANIA PC (NPI# 1023001690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023001690 |
| Entity Type | Organization |
| Organization Name | IMAGING PROFESSIONALS OF PENNSYLVANIA PC |
| Other Organization Name | NORTHEAST IMAGING |
| Practice Address |
8001 Roosevelt Blvd Philadelphia PA 19152-3038 |
| Mailing Address |
1430 Spring Hill Rd Suite 500 Mc Lean VA 22102-3000 |
| Practice Telephone | 8884406494 |
| Practice Fax Number | 3307591501 |
| Mailing Telephone | 9737071100 |
| Mailing Fax Number | 9737071127 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DAVID L BLOOM (PRESIDENT) |
| Authorized Official Telephone | 9737071100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | IMAGING PROFESSIONALS OF PENNSYLVANIA PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
========= | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0011008510016 | 05 |
| Other Name | Type Code |
|---|---|
| Northeast Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596385 | Imaging Professionals of Pennsylvania PC | Radiology | 451 W Chew St, Suite 105, Allentown, PA 18102-3472 | 2005-08-31 |
| 1952394363 | Imaging Professionals of Pennsylvania PC | Radiology | 301 Callowhill St, Philadelphia, PA 19123-4103 | 2005-08-31 |
| 1063405470 | Imaging Professionals of Pennsylvania PC | Radiology | 891 Baltimore Pike, Springfield, PA 19064-3954 | 2005-08-31 |
| 1114910783 | Imaging Professionals of Pennsylvania PC | Radiology | 170 Painters Xing, West Chester, PA 19382-8310 | 2005-08-29 |
| 1588657159 | Imaging Professionals of Pennsylvania PC | Radiology | 600 E Township Line Rd, Havertown, PA 19083-5702 | 2005-08-29 |
| 1336132992 | Imaging Professionals of Pennsylvania PC | Radiology | 9140 Academy Rd, Philadelphia, PA 19114-2853 | 2005-08-29 |
| Street Address |
8001 ROOSEVELT BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568463073 | Christina L Chambley | Physician Assistant | 8001 Roosevelt Blvd, Suite 307, Philadelphia, PA 19152-3038 | 2005-08-09 |
| 1184090383 | Care Connection Counseling | Social Worker | 8001 Roosevelt Blvd, #301, Philadelphia, PA 19152-3038 | 2015-08-11 |
| 1134504822 | Marilyn Della Pia | Counselor | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2015-07-23 |
| 1932599958 | Esther Shoshana Honeyman | Counselor | 8001 Roosevelt Blvd, Suite 205, Philadelphia, PA 19152-3038 | 2015-01-28 |
| 1912307976 | Janice Roberts | Counselor | 8001 Roosevelt Blvd, Suite 205-207, Philadelphia, PA 19152-3038 | 2014-08-27 |
| 1497169387 | Elizabeth Klotz | Counselor | 8001 Roosevelt Blvd, 301, Philadelphia, PA 19152-3038 | 2014-06-18 |
| 1134532757 | Anita Wilkerson | Social Worker | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2014-06-11 |
| 1427471168 | New Path Md Inc | Internal Medicine | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2014-01-31 |
| 1124464821 | Lauren Green | Counselor | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2013-05-21 |
| 1265792311 | Dorothy Dolan | Counselor | 8001 Roosevelt Blvd, Suite 301, Philadelphia, PA 19152-3038 | 2012-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| 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 |
|---|---|---|---|---|
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1033649975 | Dinh-huy Do Nguyen | Radiology | 5501 Old York Rd Ste 363, Philadelphia, PA 19141-3018 | 2017-06-13 |
| 1467809418 | Jeffrey Burgess | Radiology | 1215 Spruce St Apt 201, Philadelphia, PA 19107-5620 | 2016-05-19 |
| 1649632399 | Myron Blumberg | Radiology | 317 S 22nd St, Philadelphia, PA 19103-6528 | 2016-03-22 |
| 1144633074 | Daniel Robert Wahl | Radiology | 3400 Spruce Street - 1 Silverstein, Department of Radiology / Abdominal Imaging, Philadelphia, PA 19104 | 2014-06-09 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1831454867 | Ryan Michael Bonshock | Radiology | 4220 Market St Fl 2, Philadelphia, PA 19104-3007 | 2012-07-05 |
| 1730498601 | Robert A Perkins Jr. | Radiology | 132 S 10th St Ste 1099j, Philadelphia, PA 19107-5244 | 2010-09-27 |
| 1457677007 | Michael Richard Acord | Radiology | 3401 Civic Blvd, Division of Radiology, Philadelphia, PA 19104 | 2010-04-07 |
| 1780918375 | Mollie Mcginley | Radiology | 1835 Arch St, Apartment 305, Philadelphia, PA 19103-2712 | 2009-09-29 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on IMAGING PROFESSIONALS OF PENNSYLVANIA PC.
| 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.