NINES RADIOLOGY PA PC (NPI# 1104446871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104446871 |
| Entity Type | Organization |
| Organization Name | NINES RADIOLOGY PA PC |
| Practice Address |
2595 Interstate Dr Ste 103 Harrisburg PA 17110-9378 |
| Practice Telephone | 5099980391 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | ALEXANDER KAGEN (PRESIDENT/CEO) |
| Authorized Official Telephone | 6469428343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
2595 INTERSTATE DR STE 103 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17110-9378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245446673 | Robert William Shambaugh | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2007-05-15 |
| 1538726179 | Tracey Marie Dixon | Nurse Practitioner | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2019-05-20 |
| 1619441862 | Shawn Kelly Pritchett | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2019-01-21 |
| 1972082766 | Whitney Marie Robenolt | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2018-08-13 |
| 1467944470 | Kristine V. Spano | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2018-06-05 |
| 1851801120 | Laura Milani Betancourt | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2017-10-02 |
| 1992246433 | Kristin Caffier | Social Worker | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2017-03-16 |
| 1235678764 | Ron Nieberding | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2017-02-16 |
| 1083151039 | Ann Weston | Social Worker | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2017-01-30 |
| 1700182292 | Kate Stockton Marcelli | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2011-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993271 | Christopher William Delong | Nurse Practitioner | 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 | 2019-10-14 |
| 1306490701 | Melissa Ann Duchesne | Registered Nurse | 2501 North 3rd Street, Landis Building 7th Floor, Harrisburg, PA 17110 | 2019-07-25 |
| 1558845024 | Mary Kaitlin Novak | Counselor | 3605 Vartan Way, Suite 204a, Harrisburg, PA 17110 | 2018-09-20 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1356897938 | Millonee Dialysis LLC | Clinic/Center | 4390 Sturbridge Dr, Harrisburg, PA 17110 | 2016-09-01 |
| 1538529268 | Ergency Associates LLC | Emergency Medical Technician, Basic | 2323 Linglestown Road, Unit 201b, Harrisburg, PA 17110 | 2016-02-23 |
| 1134514904 | Benjamin Daniel Chan | Student in an Organized Health Care Education/Training Program | Kline Health Center, 2501 N. Third St., 2nd Floor, Landis Building, Harrisburg, PA 17110 | 2015-03-30 |
| 1013317411 | Robert Derner Jr. | Counselor | 2700 Commerce Dr., Harrisburg, PA 17110 | 2014-09-04 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1962791905 | Paul Schaffner Stoner Sr. | General Practice | 4500 Oakhurst Blvd., Apt 319, Harrisburg, PA 17110 | 2011-03-30 |
| Find all providers in zip 17110 | ||||
| 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 |
|---|---|---|---|---|
| 1669568929 | Pennsylvania Open Mri of Harrisburg, Inc. | Radiology | 5400 Chambers Hill Rd Ste D, Harrisburg, PA 17111-2547 | 2006-10-05 |
| 1720078629 | Hisham T Youssef | Radiology | 112 E Clark St, Harrisburg, IL 62946-2703 | 2005-10-24 |
| 1235126251 | Barbara Karlheim Kunkel | Radiology | 4230 Crums Mill Rd, Harrisburg, PA 17112-2898 | 2005-10-04 |
| 1922091404 | Jinan O Bahia | Radiology | 4518 Union Deposit Rd, Harrisburg, PA 17111-2921 | 2005-08-30 |
| 1518964865 | Christopher Ladd | Radiology | 4520 Union Deposit Rd, Harrisburg, PA 17111-2910 | 2005-07-01 |
| 1457824013 | Penn State Health Community Medical Group, LLC | Radiology | 4520 Union Deposit Rd, Harrisburg, PA 17111-2910 | 2019-01-07 |
| 1417374448 | Daniel Esslinger | Radiology | 4520 Union Deposit Rd, Harrisburg, PA 17111-2910 | 2014-03-27 |
| 1366711673 | Tristan Radiology Specialists, P.C. | Radiology | 4518 Union Deposit Rd, Harrisburg, PA 17111-2921 | 2011-12-16 |
| 1710270731 | Brian Scott Bentley | Radiology | 4518 Union Deposit Rd, Harrisburg, PA 17111 | 2011-05-24 |
| 1386876274 | Joella E Wilson | Radiology | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2009-08-11 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17110 |
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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.