ODDYSSEY IV, LLC (NPI# 1063467082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063467082 |
Entity Type | Organization |
Organization Name | ODDYSSEY IV, LLC |
Other Organization Name | CENTER FOR ADVANCE IMAGING |
Practice Address |
2923 Franklin Rd Sw Roanoke VA 24014-1001 |
Mailing Address |
Po Box 12746 Roanoke VA 24028-2746 |
Practice Telephone | 5405639840 |
Practice Fax Number | 5408510881 |
Mailing Telephone | 5405639840 |
Mailing Fax Number | 5405810881 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2007-12-13 |
Authorized Official Name | NAIYER IMAM (PRESIDENT) |
Authorized Official Telephone | 5405639840 |
Authorized Official Credential | M. D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Center for Advance Imaging | Doing Business As Name - Organization |
Street Address |
2923 FRANKLIN RD SW |
City | ROANOKE |
State | VA |
Zip Code | 24014-1001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831404284 | Image Guided Pain Management, P.C. | Radiology | 2923 Franklin Rd Sw, Roanoke, VA 24014-1001 | 2010-08-10 |
1578599759 | Image Guided Therapeutics, PC | Pain Medicine | 2923 Franklin Rd Sw, Roanoke, VA 24014-1001 | 2006-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
Find all providers in zip 24014 |
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 |
---|---|---|---|---|
1508008913 | Louise Godine | Radiology | 2840 Electric Rd, Suite 205 A, Roanoke, VA 24018-3551 | 2009-03-31 |
1073750816 | Roanoke Imaging LLC | Radiology | 4330 Brambleton Ave, Roanoke, VA 24018-3405 | 2009-01-15 |
1992768147 | Naiyer Imam | Radiology | 7636 Williamson Rd, Roanoke, VA 24019-4341 | 2006-04-10 |
1437111598 | Sutin - Srisumrid | Radiology | 3703 Sunridge Ln, Roanoke, VA 24018-3181 | 2006-04-04 |
1528061140 | James Edward Blackwell | Radiology | 1906 Belleview, Roanoke, VA 24033 | 2005-05-27 |
1730576943 | Seth Andrews | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2015-04-26 |
1770901530 | Samuel Key | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2014-03-30 |
1407116718 | Michael Bergen | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2012-05-21 |
1588924013 | Specialized Radiology Services Inc | Radiology | 2840 Electric Rd, Suite 205-a, Roanoke, VA 24018-3551 | 2012-05-17 |
1376822080 | Fielding Carter Fitzpatrick | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014 | 2011-08-11 |
Find all providers in ROANOKE |
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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.