LEBANON IMAGING ASSOCIATES, PC (NPI# 1053345652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053345652 |
| Entity Type | Organization |
| Organization Name | LEBANON IMAGING ASSOCIATES, PC |
| Practice Address |
Fourth and Walnut Streets Attn: Radiology Department Lebanon PA 17042 |
| Mailing Address |
Po Box 347358 Pittsburgh PA 15251-4358 |
| Practice Telephone | 7172707645 |
| Practice Fax Number | 7172707639 |
| Mailing Telephone | 7172707645 |
| Mailing Fax Number | 7172707639 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-03-17 |
| Authorized Official Name | STEPHEN WHITMOYER (CHAIRMAN) |
| Authorized Official Telephone | 7172707645 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1012196280001 | 05 |
| Street Address |
FOURTH AND WALNUT STREETS ATTN: RADIOLOGY DEPARTMENT |
| City | LEBANON |
| State | PA |
| Zip Code | 17042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205881018 | Juan C. Blas-boria | Radiology | Fourth and Walnut Streets, Radiology Department, Lebanon, PA 17042 | 2006-05-23 |
| 1205902343 | The Good Samaritan Hospital | Clinic/Center | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-28 |
| 1801969589 | Karen K Bachman | Dietitian, Registered | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-17 |
| 1346329232 | The Good Samaritan Hospital | Emergency Medicine | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-03 |
| 1922186089 | Judith A Laubenstein | Registered Nurse | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-02 |
| 1609953751 | The Good Samaritan Hospital | Radiology | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-01 |
| 1609952761 | The Good Samaritan Hospital | Internal Medicine | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-10-31 |
| 1396821211 | Gayle K Hoffman | Dietitian, Registered | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-10-31 |
| 1477639300 | Theresa M Gogets | Dietitian, Registered | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-10-31 |
| 1598773962 | Cardiovascular Surgical Associates of Lebanon, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| 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 |
|---|---|---|---|---|
| 1114551132 | Lebanon Pet Scan Center, LLC | Radiology | 103 Physicians Way Ste 100, Lebanon, TN 37090-4129 | 2020-02-28 |
| 1417319161 | Joseph Martin Clark | Radiology | 16 E High St, Lebanon, PA 17042-5454 | 2016-03-22 |
| 1902900061 | Susan B Humphreys Md PC | Radiology | Carroll & Tate Streets, Lebanon, VA 24266 | 2006-09-11 |
| 1467499079 | Philip Dennison Stieg | Radiology | Fourth & Walnut Streets, Radiology Department, Lebanon, PA 17042-1281 | 2006-06-01 |
| 1285689513 | Vision Imaging of Lebanon LLC | Radiology | 805 Helen Dr, Lebanon, PA 17042-7493 | 2006-05-24 |
| 1902876352 | Radiology & Nuclear Medicine Associates | Radiology | 1411 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2006-01-26 |
| 1669469532 | Daniel William Hottenstein | Radiology | 231 Valley Rd, Lebanon, PA 17042-8930 | 2005-10-05 |
| 1811998073 | Susan Barrow Humphreys | Radiology | Carroll & Tate Sts, Box 3600, Lebanon, VA 24266 | 2005-08-09 |
| 1346246436 | Lebanon Diagnostic Imaging, LLC | Radiology | 960 Isabel Dr, Lebanon, PA 17042-7482 | 2005-06-23 |
| 1386175859 | Joshua Harris Litchman | Radiology | 1 Medical Dr, Lebanon, NH 03756 | 2017-03-25 |
| Find all providers in LEBANON | ||||
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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.