MARION DIAGNOSTIC CENTER LLC (NPI# 1275006744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275006744 |
| Entity Type | Organization |
| Organization Name | MARION DIAGNOSTIC CENTER LLC |
| Practice Address |
3003 Civic Circle Blvd Ste 200 Marion IL 62959-5259 |
| Practice Telephone | 6189931400 |
| Practice Fax Number | 6189931522 |
| Mailing Telephone | 6189931400 |
| Mailing Fax Number | 6189931522 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | SHARI D. GAMBLE (NURAE ADMINISTRATOR) |
| Authorized Official Telephone | 6189931400 |
| Authorized Official Credential | BSN, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
3003 CIVIC CIRCLE BLVD STE 200 |
| City | MARION |
| State | IL |
| Zip Code | 62959-5259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346377199 | Steven Lee Martinez | Physician Assistant | 3003 Civic Circle Blvd Ste 200, Marion, IL 62959-5259 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| 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 |
|---|---|---|---|---|
| 1215429501 | The Open Mri Center | Radiology | 3123 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-06-01 |
| 1720221005 | American Imaging and Mri, LLC | Radiology | 2716 S Western Ave, Marion, IN 46953-3574 | 2009-04-15 |
| 1730325960 | Alan Devon Belcher | Radiology | 256 Pinkerton Court, Marion, IN 46952-2046 | 2008-12-17 |
| 1245492271 | James C Camarata | Radiology | 1195 E Charles Rd, Marion, IN 46952-9297 | 2008-07-01 |
| 1750589164 | Gerald Thomas Hanley | Radiology | 17417 Shed Church Rd, Marion, IL 62959-7230 | 2007-07-06 |
| 1558448258 | George Murphy | Radiology | 1131 N Carbon St Ste D, Marion, IL 62959-1095 | 2006-11-01 |
| 1801895081 | Marion General Radiology, Inc. | Radiology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2005-07-19 |
| 1043219223 | Donald J Bruns | Radiology | 830 N Theatre Rd, Marion, IN 46952-1700 | 2005-07-19 |
| 1609351360 | Mh Mcdowell Imaging, Lllp | Radiology | 430 Rankin Dr, Marion, NC 28752-6568 | 2018-09-28 |
| 1578835237 | American Imaging and Mri, LLC | Radiology | 2716 S Western Ave, Marion, IN 46953-3574 | 2012-01-27 |
| Find all providers in MARION | ||||
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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.