TIDC-IRVING, INC (NPI# 1154385102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154385102 |
Entity Type | Organization |
Organization Name | TIDC-IRVING, INC |
Other Organization Name | TEXAS IMAGING & DIAGNOSTIC CENTER |
Practice Address |
3636 N Macarthur Blvd Suite 170 Irving TX 75062-3637 |
Practice Telephone | 9722559444 |
Practice Fax Number | 9725704664 |
Mailing Telephone | 9722559444 |
Mailing Fax Number | 9725704664 |
Enumeration Date | 2006-04-14 |
Last Update Date | 2007-07-30 |
Authorized Official Name | EMIL GEORGIO CERULLO (CEO) |
Authorized Official Telephone | 2143575229 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R22410 | TX | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Texas Imaging & Diagnostic Center | Doing Business As Name - Organization |
Street Address |
3636 N MACARTHUR BLVD SUITE 170 |
City | IRVING |
State | TX |
Zip Code | 75062-3637 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689675746 | Robert S. Eisenberg | Ophthalmology | 3636 N Macarthur Blvd, Suite 135, Irving, TX 75062-3691 | 2005-08-10 |
1962880732 | Peiyi Cheng | Acupuncturist | 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062-3691 | 2015-05-13 |
1467830232 | Mengchen Hao | Acupuncturist | 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062-3691 | 2015-05-13 |
1437537420 | Cipm | Acupuncturist | 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062-3691 | 2015-05-11 |
1922371889 | Laura Lee Linderman | Chiropractor | 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062-3691 | 2012-02-22 |
1659420578 | Robert S Eisenberg, Md Pa | Ophthalmology | 3636 N Macarthur Blvd, Ste 135, Irving, TX 75062-3691 | 2007-01-09 |
1861558611 | Richard Miles Rice | Chiropractor | 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062-3637 | 2006-12-28 |
1205994498 | Sandra L Sieber | Dentist | 3636 N Macarthur Blvd, Ste 140, Irving, TX 75062-3637 | 2006-12-04 |
1306946504 | Cathryn Woeber Kolker | Chiropractor | 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062 | 2006-09-25 |
1548210537 | Jason Aubrey Watkins | Chiropractor | 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062-3637 | 2006-05-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029039 | Parham Dental Team, Pllc | Dentist | 3100 N O'connor Rd, # 100, Irving, TX 75062 | 2020-10-05 |
1649896119 | Evolve Medical Supply & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4953 N. O'connor Rd., Suite 150, Irving, TX 75062 | 2020-06-22 |
1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
1295392306 | Rami Marwan El-bkaily | Optometrist | 4100 W Airport Fwy Unit 100, Irving, TX 75062 | 2019-05-23 |
1891352118 | Smazy Enterprise LLC | Optometrist | W. Airport Freeway, Ste 122, Irving, TX 75062 | 2019-05-22 |
1568029023 | Bcs Management LLC | Physical Therapist | 2642 N Belt Line Rd, Suite 2642, Irving, TX 75062 | 2019-05-21 |
1639633696 | In His Image Counseling Center, Pllc | Marriage & Family Therapist | 4425 W. Airport Fwy, Suite 244, Irving, TX 75062 | 2019-01-24 |
1316446701 | Thinh Le | Dentist | 4040 W. Northgate Dr., Irving, TX 75062 | 2018-02-12 |
1366972259 | Erick Marquez | Dentist | 118 E John W Carpenter Fwy, #170, Irving, TX 75062 | 2017-06-14 |
1740718584 | Cosmetic Companions LLC | Home Health | 320 Decker Dr Ste 100, Irving, TX 75062 | 2017-05-24 |
Find all providers in zip 75062 |
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 |
---|---|---|---|---|
1083959605 | James Newton Camak Jr. | Radiology | 3801 Acapulco Ct, Irving, TX 75062-6500 | 2012-12-07 |
1003161530 | Thomas Joe | Radiology | 3909 Acapulco St, Irving, TX 75062-6513 | 2012-07-20 |
1770893828 | Donald Leigh Oberlin | Radiology | 4743 Byron Circle, Irving, TX 75038 | 2010-10-07 |
1750456208 | Helen T Ramey | Radiology | 1209 Mosswood Ln, Irving, TX 75061-4525 | 2006-11-21 |
1356442040 | Jose Rivero | Radiology | 8411 Sterling St, Suite 101, Irving, TX 75063-1901 | 2006-09-26 |
1063439883 | Us Radiology Partners of Texas Inc | Radiology | 8411 Sterling Street, Irving, TX 33316 | 2006-07-16 |
1902830409 | Susan M Straten | Radiology | 2021 N Macarthur Blvd Ste 115, Irving, TX 75061-2210 | 2006-07-10 |
1184683757 | Craig B Mcardle | Radiology | 102 Decker Ct, Suite 205, Irving, TX 75062-2740 | 2006-03-21 |
1124094255 | Leonard Gross | Radiology | 1110 Cottonwood Lane, Suite 100, Irving, TX 75038 | 2006-02-28 |
1609848365 | Howard L Stoll | Radiology | 845 Main Rd, Irving, NY 14081-9706 | 2006-02-06 |
Find all providers in IRVING |
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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.