YOUNGSTOWN REGIONAL PET SCAN LLC (NPI# 1144276429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144276429 |
| Entity Type | Organization |
| Organization Name | YOUNGSTOWN REGIONAL PET SCAN LLC |
| Practice Address |
850 Mckay Ct Youngstown OH 44512-5745 |
| Mailing Address |
P.o. Box 76757 Cleveland OH 44101-6500 |
| Practice Telephone | 3307589411 |
| Mailing Telephone | 8006248910 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2009-07-16 |
| Authorized Official Name | SAGE YARBROUGH (CLIENT REPRESENTATIVE) |
| Authorized Official Telephone | 3304939004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2424200 | 05 |
| Street Address |
850 MCKAY CT |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44512-5745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of 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 |
|---|---|---|---|---|
| 1124266556 | Western Hills Medical Imaging, Inc. | Radiology | 3319 Harrison Ave, Cincinnati, OH 45211-5618 | 2009-01-22 |
| 1003090994 | Ohio Diagnostic Imaging Inc. | Radiology | 19 Lyman Cir, Shaker Heights, OH 44122-2110 | 2007-12-27 |
| 1881891182 | Jongdae Suh | Radiology | 3827 Paxton Ave., 838, Cincinnati, OH 45209 | 2007-06-29 |
| 1821205410 | Merrill F. Wymer | Radiology | 69856 The Mdws, Saint Clairsville, OH 43950-9349 | 2007-05-16 |
| 1932153095 | Nuclear Physicians Limited | Radiology | 4161 Bridgewater Pkwy, Stow, OH 44224-6191 | 2006-05-20 |
| 1578513255 | Rodney Victor Pozderac | Radiology | 2104 Front Street, Suite B, Cuyahoga Falls, OH 44221-3259 | 2006-05-11 |
| 1134128085 | Regional Pet Scan LLC | Radiology | 2000 Alburn Dr, Suite 100, Beachwood, OH 44122-4314 | 2005-07-21 |
| 1700885696 | Toledo Regional Pet Scan, LLC | Radiology | 3442 Granite Cir, Toledo, OH 43617-1160 | 2005-07-21 |
| 1386641454 | Peter Kanistros | Radiology | 4983 Delhi Ave, Suite 6, Cincinnati, OH 45238-5380 | 2005-07-05 |
| 1518594480 | Lucidsolutions, Inc. | Radiology | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-03-23 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
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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.