ADVANCED US RADIOLOGY (NPI# 1073551313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073551313 |
| Entity Type | Organization |
| Organization Name | ADVANCED US RADIOLOGY |
| Practice Address |
12951 South Fwy Houston TX 77047-1923 |
| Practice Telephone | 7135265771 |
| Practice Fax Number | 7135262036 |
| Mailing Telephone | 7135265771 |
| Mailing Fax Number | 7135262036 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RAMAN MOCHARLA (PRESIDENT) |
| Authorized Official Telephone | 7135265771 |
| 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 |
| Street Address |
12951 SOUTH FWY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77047-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243144 | David Walker Light Iv | Radiology | 12951 South Fwy, Houston, TX 77047-1923 | 2005-05-24 |
| 1396188280 | Dorys Sandoval | Nurse Practitioner | 12951 South Fwy, Houston, TX 77047-1923 | 2013-04-10 |
| 1831365261 | Spencer A Chang | Radiology | 12951 South Fwy, Houston, TX 77047-1923 | 2008-05-06 |
| 1811163256 | Amy R. Mehollin-ray | Radiology | 12951 South Fwy, Houston, TX 77047-1923 | 2008-05-06 |
| 1285838862 | Sankaman Nonesupplied Praisoody | Radiology | 12951 South Fwy, Houston, TX 77047-1923 | 2007-06-14 |
| 1326171489 | Andrew H. Chang | Radiology | 12951 South Fwy, Houston, TX 77047-1923 | 2007-03-14 |
| 1891839718 | Robert S. Case | Radiology | 12951 South Fwy, Houston, TX 77047-1923 | 2007-02-16 |
| 1336291731 | Kelly Norris Smith | Physician Assistant | 12951 South Fwy, Houston, TX 77047-1923 | 2007-01-17 |
| 1073520540 | Sherri B. Birchansky | Radiology | 12951 South Fwy, Singleton Associates, Pa, Houston, TX 77047-1923 | 2006-08-01 |
| 1063426450 | Jose A. Hernandez | Radiology | 12951 South Fwy, Houston, TX 77047-1923 | 2006-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528693827 | Gloss Dental | Dentist | 1416 W Orem Dr, Houston, TX 77047 | 2020-03-06 |
| 1093347486 | Kayla A Johnson | Nurse Practitioner | 1540 Summer City Dr, Houston, TX 77047 | 2020-02-04 |
| 1548802432 | Patsy Ward | Technician | 12707 Claygate Dr., Houston, TX 77047 | 2019-10-11 |
| 1245895242 | Chinedu Nwabuona | Pharmacist | 12627 City Village Lane, Houston, TX 77047 | 2019-05-06 |
| 1417422866 | Adetola Adeosun | Occupational Therapist | 11931 Harristown Dr, Houston, TX 77047 | 2018-10-11 |
| 1730694787 | City Park Care Center, LLC | Skilled Nursing Facility | 12262 Cityscape Avenue, Houston, TX 77047 | 2017-12-12 |
| 1033591151 | Latina Baxter | Doula | 2814 Trinity Glen Ln., Houston, TX 77047 | 2015-06-25 |
| 1114336807 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 10200 Cullen Blvd, Houston, TX 77047 | 2014-08-06 |
| 1871915363 | Latoya Mitchell | Speech-Language Pathologist | 3027 Westwood Manor Lane, Houston, TX 77047 | 2014-01-17 |
| 1801227665 | Rediate Negash | Nurse Practitioner | 3550 Swingle Rd Ms Bcm 700, Houston, TX 77047 | 2013-12-04 |
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| 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 |
|---|---|---|---|---|
| 1518461961 | Ahmed Elakkad | Radiology | 5704 Edgemoor Dr Apt 90, Houston, TX 77081 | 2018-03-21 |
| 1578065967 | Erika G. L. C. Odisio | Radiology | 1400 Pressler St # 145084, Houston, TX 77030-3722 | 2018-03-02 |
| 1841798527 | Icgh - Imaging Centers of Greater Houston LLC | Radiology | 6300 Richmond Ave Ste 104, Houston, TX 77057-5931 | 2018-01-26 |
| 1528597580 | Mayur Kundan Virarkar | Radiology | 1515 Holcombe Blvd Unit 1459, Houston, TX 77030-4000 | 2017-06-05 |
| 1831627918 | Ali Ahmed Abdelkhalek Baiomy | Radiology | 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 | 2017-06-01 |
| 1881139566 | Radiology Partners of Iowa Inc | Radiology | 7600 W Tidwell Rd, Suite 103, Houston, TX 77040-5714 | 2017-01-04 |
| 1902352701 | Mouin Ct-mri | Radiology | 11375 W Sam Houston Parkway, 150, Houston, TX 77031-2347 | 2016-08-31 |
| 1861888356 | Joe M Moody Sr. | Radiology | 5042 Tangle Ln., Houston, TX 77056-2114 | 2015-04-10 |
| 1689063430 | Kai Xu | Radiology | 6431 Fannin St Ste 2.116, Houston, TX 77030-1501 | 2015-01-16 |
| 1063817203 | Oakridge Imaging LLC | Radiology | 3301 S Shepherd Dr, Houston, TX 77098-3320 | 2014-10-30 |
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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.