PROSCAN IMAGING OF TROY, LLC (NPI# 1073571238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073571238 |
| Entity Type | Organization |
| Organization Name | PROSCAN IMAGING OF TROY, LLC |
| Practice Address |
45 S Stanfield Rd Suite 101 Troy OH 45373-2366 |
| Practice Telephone | 9374406781 |
| Practice Fax Number | 9374409734 |
| Mailing Telephone | 9374406781 |
| Mailing Fax Number | 9374409734 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-09-04 |
| Authorized Official Name | RUTH WALLACE (CFO) |
| Authorized Official Telephone | 5139245183 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1217IC | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM PIN | 000000388577 | 01 | |
| OH | 2697630 | 05 |
| Street Address |
45 S STANFIELD RD SUITE 101 |
| City | TROY |
| State | OH |
| Zip Code | 45373-2366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699189035 | Casandra Sherman Thieman | Physician Assistant | 45 S Stanfield Rd, Troy, OH 45373-2366 | 2014-06-13 |
| 1699922914 | Lori A Darrah | Nurse Practitioner | 45 S Stanfield Rd, Troy, OH 45373 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| 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 |
|---|---|---|---|---|
| 1811221104 | Carl E Farah | Radiology | 1616 Kirts Blvd, 206, Troy, MI 48084-4348 | 2009-09-21 |
| 1558591024 | Paul Thottakara | Radiology | 3088 Glouchester Dr, Troy, MI 48084-2715 | 2009-07-20 |
| 1487883427 | Alexander Elhilal | Radiology | 1113 Birchwood Dr, Troy, MI 48083-1807 | 2009-07-13 |
| 1124286190 | Robert Warren Mendelson | Radiology | 2541 Manchester Ct, Troy, MI 48098-2146 | 2008-05-27 |
| 1457522625 | Seetha S Vakhariya | Radiology | 3290 Camden Dr, Troy, MI 48084-7027 | 2008-03-17 |
| 1194915660 | Danny Ma | Radiology | 2099 Hartshorn Ave, Troy, MI 48083-1760 | 2007-07-30 |
| 1699849000 | Joseph Carroll Andrews | Radiology | 5762 Greenhill Dr, Troy, MI 48098-5341 | 2006-11-17 |
| 1912088808 | Bhargavi Kanubhai Patel | Radiology | 1000 East Cherry Street, Lincoln County Medical Center Dept of Radiology, Troy, MO 63379 | 2006-10-18 |
| 1700985744 | Timothy L Eakes Jr. | Radiology | 1330 Highway 231 South, Troy, AL 36081 | 2006-09-22 |
| 1043265234 | Yagnesh Rameshwar Raval | Radiology | 3130 North Dixie Highway, Imaging Department, Troy, OH 45373-1309 | 2006-05-24 |
| Find all providers in TROY | ||||
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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.