SOUTH SHORE RADIOLOGY INC (NPI# 1033170279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033170279 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE RADIOLOGY INC |
| Practice Address |
1400 Main Street Bellevue OH 44811-1028 |
| Mailing Address |
Po Box 1800 Sandusky OH 44871 |
| Practice Telephone | 4194834040 |
| Practice Fax Number | 4194845411 |
| Mailing Telephone | 4195026731 |
| Mailing Fax Number | 4195026732 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DAVID V WEST (PRESIDENT) |
| Authorized Official Telephone | 4195026731 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | DC6547 | 01 |
| Street Address |
1400 MAIN STREET |
| City | BELLEVUE |
| State | OH |
| Zip Code | 44811-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275979296 | Samuel Elias Ross | Family Medicine | 1255 W Main St Ste B, Bellevue, OH 44811 | 2013-05-16 |
| 1376780379 | Firelands Regional Medical Center | General Acute Care Hospital | 290 Progress Drive, Suite A, Bellevue, OH 44811 | 2009-01-13 |
| 1619195914 | Michael Barry Brunner | Pharmacist | 234 W Main Street, Bellevue, OH 44811 | 2007-04-23 |
| 1952524704 | April L Ptak | Massage Therapist | 855 West Main St, Suite E, Bellevue, OH 44811 | 2007-04-10 |
| 1215150057 | Erica Drossman | Massage Therapist | 855 West Main Street, Suite E, Bellevue, OH 44811 | 2007-04-10 |
| 1275644981 | Cornerstone Psychological Affiliates | Counselor | 817 Kilbourne St, Suite F, Bellevue, OH 44811 | 2006-08-31 |
| 1528172475 | Bhms Inc | Durable Medical Equipment & Medical Supplies | 234 West Main St, Bellevue, OH 44811 | 2006-08-18 |
| 1750494530 | Mark Allen Motley | Optometrist | 1355 West Main St, Bellevue, OH 44811 | 2006-08-16 |
| 1487675567 | Orville Rene Amburn | Family Medicine | 250 Castalia St, G, Bellevue, OH 44811 | 2006-07-22 |
| 1457320095 | Erie Surgical Associates | Surgery | 1400 West Main St, Suite D, Bellevue, OH 44811 | 2006-03-16 |
| Find all providers in zip 44811 | ||||
| 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 |
|---|---|---|---|---|
| 1164845202 | Diagnostic Radiology Bellevue Office | Radiology | 2510 Bellevue Medical Center Dr Ste 145, Bellevue, NE 68123-1556 | 2014-01-26 |
| 1932202330 | Brian Coate Jacobs | Radiology | 1400 116th Ave Ne, Bellevue, WA 98004 | 2006-09-07 |
| 1720442932 | Swedish Health Services | Radiology | 1200 112th Ave Ne, Suite B250, Bellevue, WA 98004-3732 | 2016-04-13 |
| 1811138589 | South Shore Imaging Inc | Radiology | 1400 W Main St, Bellevue, OH 44811-9088 | 2009-03-10 |
| 1518142124 | Gregory Thomas Peters | Radiology | 2500 Bellevue Medical Center Dr, Bellevue, NE 68123-1591 | 2008-01-02 |
| 1114144417 | Christopher Troy Koch | Radiology | 2500 Bellevue Medical Center Dr, Bellevue, NE 68123-1591 | 2007-04-19 |
| 1255484283 | Jason William Burns | Radiology | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2007-01-21 |
| 1255423331 | Andrew D. Bronstein | Radiology | 1310 116th Ave Ne, Suite E, Bellevue, WA 98004-3817 | 2006-09-28 |
| 1043302136 | Calixto T. Dimas | Radiology | 1310 116th Ave Ne, Suite E, Bellevue, WA 98004-3817 | 2006-09-28 |
| 1649292186 | Thomas P Sullivan | Radiology | 1310 116th Ave Ne, Suite E, Bellevue, WA 98004-3817 | 2006-07-24 |
| Find all providers in BELLEVUE | ||||
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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.