SPECTRUM DIAGNOSTIC IMAGING OF OHIO LLC (NPI# 1174754683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174754683 |
| Entity Type | Organization |
| Organization Name | SPECTRUM DIAGNOSTIC IMAGING OF OHIO LLC |
| Practice Address |
19250 Bagley Rd Cleveland OH 44130-3347 |
| Mailing Address |
4400 Rockside Rd Independence OH 44131-2168 |
| Practice Telephone | 4402609970 |
| Practice Fax Number | 4402609980 |
| Mailing Telephone | 2165842900 |
| Mailing Fax Number | 2165842901 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-10-06 |
| Authorized Official Name | DR. MARK ZHUK (CEO) |
| Authorized Official Telephone | 2165842900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639300015 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 7575 Northcliff Ave, Suite 105, Brooklyn, OH 44144-3267 | 2009-08-03 |
| 1023249547 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 150 Sw 12th Ave, #102, Pompano Beach, FL 33069-3298 | 2009-07-31 |
| 1972734481 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 3609 Park East Dr, Suite 101, Beachwood, OH 44122-4331 | 2009-07-31 |
| 1306077821 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 34600 Chardon Rd, Willoughby Hills, OH 44094-8480 | 2009-07-31 |
| 1184855694 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 20455 Lorain Rd, Cleveland, OH 44126-3494 | 2009-07-31 |
| 1437380946 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 4760 Richmond Rd, Cleveland, OH 44128-5978 | 2009-07-31 |
| 1104057611 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 5183 Mayfield Rd, Lyndhurst, OH 44124-2405 | 2009-07-31 |
| 1902037419 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 6900 Ridge Rd, Parma, OH 44129-5650 | 2009-07-31 |
| 1780815209 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 8401 Mentor Ave, Mentor, OH 44060-5842 | 2009-07-31 |
| Street Address |
19250 BAGLEY RD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44130-3347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095910 | Surgery Center | Clinic/Center | 19250 Bagley Rd, Cleveland, OH 44130-3314 | 2005-07-05 |
| 1609037464 | Partners In Pathology, LLC | Clinical Medical Laboratory | 19250 Bagley Rd, Suite 103, Cleveland, OH 44130-3347 | 2008-06-24 |
| 1518070739 | Buckeye Radiation Oncology-cleveland LLC | Radiology | 19250 Bagley Rd, Suite 106, Cleveland, OH 44130-3347 | 2006-08-15 |
| 1730172677 | Pain Management Consultants, Inc | Anesthesiology | 19250 Bagley Rd, #101, Cleveland, OH 44130-3314 | 2005-08-25 |
| 1386637601 | Lucille M Stoerkel | Nurse Anesthetist, Certified Registered | 19250 Bagley Rd, Cleveland, OH 44130-3314 | 2005-08-23 |
| 1538152848 | Usha Shankaran | Anesthesiology | 19250 Bagley Rd, Cleveland, OH 44130-3314 | 2005-08-23 |
| 1124010442 | Francine Zahniser | Nurse Anesthetist, Certified Registered | 19250 Bagley Rd, Cleveland, OH 44130-3347 | 2005-08-23 |
| 1598757106 | Jyotika G Kapadia | Anesthesiology | 19250 Bagley Rd, Cleveland, OH 44130-3314 | 2005-08-19 |
| 1699767624 | Wilfredo A Cruz | Anesthesiology | 19250 Bagley Rd, Cleveland, OH 44130-3314 | 2005-08-16 |
| 1326040213 | Anesthesia Care of Ohio, Inc | Anesthesiology | 19250 Bagley Rd, Cleveland, OH 44130-3314 | 2005-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| 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 |
|---|---|---|---|---|
| 1568845279 | Rod Momenian | Radiology | 9500 Euclid Ave # Oh44195, Cleveland, OH 44195-1716 | 2015-06-30 |
| 1508123985 | Allan Chiunda | Radiology | Cleveland Clinic Foundation Diagnostic 9500 Ave, Cleveland, OH 44195-0001 | 2012-04-23 |
| 1659652915 | Fatemeh Abdollahi Mofakham | Radiology | 9500 Euclid Ave # A21, Cleveland, OH 44195-0006 | 2011-08-31 |
| 1306008743 | Leah Kim Sieck | Radiology | Crile Building Desk A 10, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2008-06-26 |
| 1962669754 | Aqeel Ahmad Chowdhry | Radiology | 1445 E 105th St, Cleveland, OH 44106-1137 | 2008-05-20 |
| 1912174954 | Laura Hagen Dean | Radiology | 9500 Euclid Ave # A10, Cleveland, OH 44195-0001 | 2008-05-09 |
| 1164610671 | Claus Simpfendorfer | Radiology | 9500 Euclid Ave - Desk A21, Cleveland, OH 44195 | 2007-10-10 |
| 1427257716 | Daniel Michael Roesel | Radiology | 9500 Euclid Ave # Hb6, Cleveland, OH 44195-5114 | 2007-07-16 |
| 1124222872 | Christopher Coppa | Radiology | 9500 Euclid Avenue, Hb6, Cleveland Clinic Foundation, Cleveland, OH 44195 | 2007-06-14 |
| 1891900114 | Rosalinn Santa Cruz | Radiology | 25001 Emery Rd Ste 100, Cleveland, OH 44128-5627 | 2007-05-11 |
| Find all providers in CLEVELAND | ||||
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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.