SUMMIT VIRTUAL RADIOLOGY, LLC (NPI# 1326369141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326369141 |
| Entity Type | Organization |
| Organization Name | SUMMIT VIRTUAL RADIOLOGY, LLC |
| Practice Address |
10 Bowen Ct Cartersville GA 30120-2494 |
| Mailing Address |
Po Box 200096 Cartersville GA 30120-9002 |
| Practice Telephone | 7706077339 |
| Practice Fax Number | 7706070789 |
| Mailing Telephone | 7706077339 |
| Mailing Fax Number | 7706070789 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | MS. BRENDA ELAINE RAKESTRAW (PRACTICE MANAGER) |
| Authorized Official Telephone | 7706077339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
053685 | GA | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
052547 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
056198 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
031215 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
049389 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
049409 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
052264 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
057533 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
057821 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
052547 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
054802 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
057821 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
054657 | GA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
032167 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
10 BOWEN CT |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-2494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174572374 | Summit Radiology Services PC | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2006-05-08 |
| 1427462811 | Sean Zigmas Goodin | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2014-06-13 |
| 1265795223 | Qiao Zhou | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2012-06-24 |
| 1811177884 | Mark Paul Rheaume | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2007-11-07 |
| 1336238526 | Alvin Graham | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2006-10-12 |
| 1689623589 | William Barnes Butt | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| 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 |
|---|---|---|---|---|
| 1902990427 | Michael D. Reed | Radiology | 98 Dean Road, S.e., Cartersville, GA 30120 | 2006-10-02 |
| 1427462811 | Sean Zigmas Goodin | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2014-06-13 |
| 1265795223 | Qiao Zhou | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2012-06-24 |
| 1194091132 | Daniel Andrew Ortiz | Radiology | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2012-03-23 |
| 1184951170 | Adam Kyle Deal | Radiology | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2009-11-11 |
| 1871740332 | Ted Thomas Chang | Radiology | 960 Joe Frank Harris Pkwy Se, Radiology Dept, Cartersville, GA 30120-2129 | 2008-08-26 |
| 1902088941 | Samir Chande | Radiology | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2007-12-01 |
| 1811177884 | Mark Paul Rheaume | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2007-11-07 |
| 1548396906 | Christopher Cornille | Radiology | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2007-02-27 |
| 1336238526 | Alvin Graham | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2006-10-12 |
| Find all providers in CARTERSVILLE | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
Please comment or provide details below to improve the information on SUMMIT VIRTUAL RADIOLOGY, LLC.
| 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.