JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC (NPI# 1083907364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083907364 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC |
| Other Organization Name | JEFFERSON OUTPATIENT IMAGING |
| Practice Address |
1 W Germantown Pike East Norriton PA 19401-1513 |
| Mailing Address |
Po Box 637249 Cincinnati OH 45263-0001 |
| Practice Telephone | 6102773202 |
| Practice Fax Number | 6102779640 |
| Mailing Telephone | 8665915559 |
| Mailing Fax Number | 6155917749 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2013-04-22 |
| Authorized Official Name | WILLIAM PERRY BAKER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6155506049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jefferson Outpatient Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678352 | Jefferson University Radiology Associates, LLC | Radiology | 243 Hurffville Crosskeys Rd, Sewell, NJ 08080-4011 | 2020-01-07 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1902114168 | Jefferson University Radiology Associates, LLC | Physiological Laboratory | 1 W Germantown Pike, East Norriton, PA 19401-1513 | 2010-09-21 |
| 1710492764 | Jefferson University Radiology Associates, LLC | Radiology | 650 Carnegie Boulevard, Malvern, PA 19355-1935 | 2017-12-12 |
| 1104376797 | Jefferson University Radiology Associates, LLC | Radiology | 9601 Bustleton Ave, Philadelphia, PA 19115-3810 | 2016-10-07 |
| 1144559444 | Jefferson University Radiology Associates, LLC | Radiology | 470 John Young Way, Suite #100, Exton, PA 19341-2557 | 2009-12-15 |
| 1275718561 | Jefferson University Radiology Associates, LLC | Radiology | 170 N Henderson Rd, Suites 103 & 104, King of Prussia, PA 19406-2155 | 2008-01-04 |
| Street Address |
1 W GERMANTOWN PIKE |
| City | EAST NORRITON |
| State | PA |
| Zip Code | 19401-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902114168 | Jefferson University Radiology Associates, LLC | Physiological Laboratory | 1 W Germantown Pike, East Norriton, PA 19401-1513 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598384711 | Ankush Kumar Gupta | Student in an Organized Health Care Education/Training Program | Suburban Community Hospital, Graduate Medical Education, 2701 Dekalb Pike, Norristown, PA 19401 | 2020-04-09 |
| 1780212100 | Aemen Shams Khakwani | Student in an Organized Health Care Education/Training Program | 2701 Dekalb Pike, Graduate Medical Education Office, Norristown, PA 19401 | 2020-03-31 |
| 1073085502 | Real Care Assistance | Technician | 509 Noble St, Norristown, PA 19401 | 2018-12-21 |
| 1275010456 | A One Dental Care PC | Dentist | 11 West Lafayette St, Norristown, PA 19401 | 2018-07-20 |
| 1538677620 | Gianna Center of Philadelphia | Obstetrics & Gynecology | 2701 Dekalb Pike Ste 207, East Norriton, PA 19401 | 2018-01-11 |
| 1316476716 | Valentina Savath | Dentist | 350 E Germantown Pike, East Norriton, PA 19401 | 2017-06-08 |
| 1255868782 | Kory M Collier | Occupational Therapist | 2751 Dekalb Pike, East Norrion, PA 19401 | 2017-05-15 |
| 1801246400 | Bh Brightview East Norriton Opco, LLC | Alzheimer Center (Dementia Center) | 300 E. Germantown Pike, East Norriton, PA 19401 | 2016-06-15 |
| 1437519881 | Heather Yzzi | Counselor | 13 Zummo Way, Norristown, PA 19401 | 2016-02-27 |
| 1306255286 | Christina Stengel Tabbut | Speech-Language Pathologist | 2751 Dekalb Pk., East Norriton, PA 19401 | 2014-08-05 |
| Find all providers in zip 19401 | ||||
| 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 |
|---|---|---|---|---|
| 1629631114 | Ward Tawfeek Mazyad | Radiology | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-04-19 |
| 1871768234 | Brooke Devenney | Radiology | 559 W Germantown Pike, Einstein Radiology Associates, East Norriton, PA 19403 | 2008-04-28 |
| 1316157613 | Julia Rose Robinson | Radiology | 700 W Germantown Pike, 2nd Floor, East Norriton, PA 19403-4273 | 2007-05-23 |
| 1588686802 | David M Bolden | Radiology | 2701 Dekalb Pike, East Norriton, PA 19401-1820 | 2006-07-24 |
| 1427009927 | Delaine M. Mandell | Radiology | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2006-05-12 |
| 1225018526 | Fornance Physician Services, Inc. | Radiology | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359014 | Kimberly Ann Nulph-laseck | Radiology | 65 Market St, Albion, PA 16401-1131 | 2020-08-31 |
| 1407478878 | Bridget Podbielski | Radiology | 1301 Summit Dr, Royersford, PA 19468-2873 | 2020-05-08 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1518522770 | Michael Anthony Branco | Radiology | 340 Wellslee Dr, Chambersburg, PA 17201-8289 | 2019-05-03 |
| 1700369535 | Tower Health Medical Group | Radiology | 301 S 7th Ave Ste 135, West Reading, PA 19611-1442 | 2018-09-07 |
| 1841784899 | Kyle Rives | Radiology | 200 Lothrop Street Upmc Presbyterian, South Tower 2nd Floor Suite 200, Pittsburgh, PA 15213 | 2018-06-21 |
| 1285128892 | Solomon Amemasor | Radiology | 200 Lothrop St Ste 200, Pittsburgh, PA 15213-2536 | 2018-06-18 |
| 1326545898 | Lehigh Valley Hospital | Radiology | 320 W Pumping Station Rd Ste 2, Quakertown, PA 18951-2345 | 2018-04-10 |
| 1376054874 | Irad Services, Inc. | Radiology | 1811 Golden Mile Hwy Ste B, Pittsburgh, PA 15239-2847 | 2017-10-24 |
| 1639689482 | Anna Maria Polizio | Radiology | 496 Cherry Ct, Pittsburgh, PA 15237-2608 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
| City | EAST NORRITON |
| Zip Code | 19401 |
Please comment or provide details below to improve the information on JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC.
| 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.