DIAGNOSTIC RADIOLOGY BELLEVUE OFFICE (NPI# 1164845202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164845202 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC RADIOLOGY BELLEVUE OFFICE |
| Practice Address |
2510 Bellevue Medical Center Dr Ste 145 Bellevue NE 68123-1556 |
| Mailing Address |
Po Box 3521 Omaha NE 68103-0521 |
| Practice Telephone | 3086476444 |
| Practice Fax Number | 8669022445 |
| Mailing Telephone | 3086476444 |
| Mailing Fax Number | 8669022445 |
| Enumeration Date | 2014-01-26 |
| Last Update Date | 2014-01-26 |
| Authorized Official Name | JO A POHL (MANAGER) |
| Authorized Official Telephone | 3086476444 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | Y |
| Parent Organization Name | DIAGNOSTIC RADIOLOGY PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
2510 BELLEVUE MEDICAL CENTER DR STE 145 |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123-1556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669909909 | Md West One, PC | Orthopaedic Surgery | 2510 Bellevue Medical Center Dr Ste 145, Bellevue, NE 68123-1556 | 2017-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| 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 |
|---|---|---|---|---|
| 1932202330 | Brian Coate Jacobs | Radiology | 1400 116th Ave Ne, Bellevue, WA 98004 | 2006-09-07 |
| 1033170279 | South Shore Radiology Inc | Radiology | 1400 Main Street, Bellevue, OH 44811-1028 | 2006-03-29 |
| 1720442932 | Swedish Health Services | Radiology | 1200 112th Ave Ne, Suite B250, Bellevue, WA 98004-3732 | 2016-04-13 |
| 1811138589 | South Shore Imaging Inc | Radiology | 1400 W Main St, Bellevue, OH 44811-9088 | 2009-03-10 |
| 1518142124 | Gregory Thomas Peters | Radiology | 2500 Bellevue Medical Center Dr, Bellevue, NE 68123-1591 | 2008-01-02 |
| 1114144417 | Christopher Troy Koch | Radiology | 2500 Bellevue Medical Center Dr, Bellevue, NE 68123-1591 | 2007-04-19 |
| 1255484283 | Jason William Burns | Radiology | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2007-01-21 |
| 1255423331 | Andrew D. Bronstein | Radiology | 1310 116th Ave Ne, Suite E, Bellevue, WA 98004-3817 | 2006-09-28 |
| 1043302136 | Calixto T. Dimas | Radiology | 1310 116th Ave Ne, Suite E, Bellevue, WA 98004-3817 | 2006-09-28 |
| 1649292186 | Thomas P Sullivan | Radiology | 1310 116th Ave Ne, Suite E, Bellevue, WA 98004-3817 | 2006-07-24 |
| Find all providers in BELLEVUE | ||||
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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.