CAROLINA RADIATION MEDICINE, PA


Address: 801 W H Smith Blvd, Greenville, NC 27834-3764
Phone: 2523290025

CAROLINA RADIATION MEDICINE, PA (NPI# 1053315093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053315093
Entity Type Organization
Organization Name CAROLINA RADIATION MEDICINE, PA
Practice Address 801 W H Smith Blvd
Greenville
NC 27834-3764
Practice Telephone 2523290025
Practice Fax Number 2523290325
Mailing Telephone 2523290025
Mailing Fax Number 2523290325
Enumeration Date 2005-06-08
Last Update Date 2008-07-18
Authorized Official Name GORDON GARY KOLTIS (PRESIDENT)
Authorized Official Telephone 2523290025
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC TRICARE 118170 01
NC UNITED HEALTHCARE 24-00059 01
NC BCBS 010SK 01
NC 89010SK 05

Office Location

Street Address 801 W H SMITH BLVD
City GREENVILLE
State NC
Zip Code 27834-3764

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508860545 Gordon Gary Koltis Radiology 801 W H Smith Blvd, Greenville, NC 27834-3764 2005-06-08
1497750756 Ron R Allison Radiology 801 W H Smith Blvd, Greenville, NC 27834-3764 2005-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841801255 Nicholas Mcarthur Bennett Day Training, Developmentally Disabled Services 302 C, Greenville, NC 27834 2020-08-11
1275150245 Shelby Renee Jones Student in an Organized Health Care Education/Training Program East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 2020-06-25
1194347138 Soban Ahmad Student in an Organized Health Care Education/Training Program 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 2020-05-13
1427687789 Brandon Allen Yates Student in an Organized Health Care Education/Training Program 435 Clinic Drive, Greenville, NC 27834 2020-04-07
1144854407 Kristen Springer Dreyfus Marriage & Family Therapist 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 2020-02-26
1861038606 Southern Surgical Outpatient Surgery Center, Pa Clinic/Center 2457 Emerald Place, Greenville, NC 27834 2019-11-26
1003460569 Shaun Fitzpatrick Nurse Practitioner Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 2019-08-01
1649831496 Katherine Salome Ross Genetic Counselor, MS 524 Moye Blvd, Greenville, NC 27834 2019-06-24
1477011880 Lauren Bethune Scroggs Counselor 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 2019-03-05
1669998001 Idella's Care Home Community/Behavioral Health 2912 Lee Ct # 9a, Greenville, NC 27834 2017-08-17
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1568981843 Medical Imaging Express Clinic/Center 361 Woodruff Rd, Greenville, SC 29607-3415 2017-09-18
1750311767 Greenville Physcians Imaging Center Clinic/Center 103 S Venture Dr, Greenville, SC 29615-3571 2006-07-04
1235685330 Prisma Health-upstate Clinic/Center 1210 W Faris Rd, Greenville, SC 29605-4444 2016-08-29
1720471618 Emergency Physician Services Clinic/Center 2498 N Pleasantburg Dr, Greenville, SC 29609-2730 2015-03-17
1174795850 Michigan Medical Patient Care Clinic/Center 1202 W Oak St, Greenville, MI 48838-2155 2008-04-02
1023057502 Greenville Hospital System Clinic/Center 200 Patewood Dr, Suite A16, Greenville, SC 29615-3593 2006-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306344577 Union Medical Services, LLC Clinic/Center 103 Stanly Pkwy Ste E, Locust, NC 28097-7711 2018-01-23
1417298134 Columbus Regional Diagnostics Clinic/Center 619 Jefferson St., Ste. 2, Whiteville, NC 28472-3707 2013-03-05
1043593395 Waccamaw Ultrasound & Diagnostics Clinic/Center 112 E White Oak St, Lake Waccamaw, NC 28450-2128 2011-09-22
1912192006 Advanced Imaging, Inc. Clinic/Center 406 Thompson St, Eden, NC 27288-5044 2007-09-11
1124123104 Sonography Services Inc Clinic/Center 125 Wamsutta Mill Rd, Suite B, Morganton, NC 28655-5522 2006-09-14
1164527149 Sonocare, LLC Clinic/Center 125 B Wamsutta Mill Rd., Morganton, NC 28655 2006-09-14
1447290010 Coastal Carolina Health Care Pa Clinic/Center 1030 Medical Park Ave, New Bern, NC 28562-5248 2006-06-08
1588611677 Sunset Imaging, LLC Clinic/Center 850 Sunset Blvd N, Sunset Beach, NC 28468-4262 2006-05-27
1740231984 Foundation Health Systems Corp Clinic/Center 1701 S Hawthorne Rd, Winston-salem, NC 27103-4015 2006-05-12
1881239093 Southeast Radiology Associates Pllc Clinic/Center 10926 David Taylor Dr Ste 120, Charlotte, NC 28262-1042 2019-11-12
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Competitor

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City GREENVILLE
Zip Code 27834

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Dataset Information

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.

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