PROVISION IMAGING OF NORTHEAST OHIO (NPI# 1346264439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346264439 |
| Entity Type | Organization |
| Organization Name | PROVISION IMAGING OF NORTHEAST OHIO |
| Practice Address |
29001 Cedar Rd Suite 104 Lyndhurst OH 44124-4062 |
| Mailing Address |
1601 Nw Expressway Suite 1300 Oklahoma City OK 73118 |
| Practice Telephone | 4404492001 |
| Practice Fax Number | 4094492002 |
| Mailing Telephone | 4058427768 |
| Mailing Fax Number | 4058427789 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT MATT TRENT (COO) |
| Authorized Official Telephone | 4058427768 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
1090IC | OH | Ambulatory Health Care Facilities |
| Street Address |
29001 CEDAR RD SUITE 104 |
| City | LYNDHURST |
| State | OH |
| Zip Code | 44124-4062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174386 | Janet S Wieselthier | Dermatology | 29001 Cedar Rd, Suite 203, Lyndhurst, OH 44124-4062 | 2005-06-18 |
| 1568847648 | W R Healthcare Management LLC | Specialist | 29001 Cedar Rd, Suite 300, Lyndhurst, OH 44124-4062 | 2015-07-30 |
| 1215345020 | Dr. James Bangayan Foot & Ankle Specialty Inc. | Durable Medical Equipment & Medical Supplies | 29001 Cedar Rd, Suite 309, Lyndhurst, OH 44124-4062 | 2014-07-24 |
| 1952740474 | Thomas Gerard Burke Jr. | Dentist | 29001 Cedar Rd, Suite 453, Lyndhurst, OH 44124-4062 | 2013-06-18 |
| 1689017444 | Neil J Kogan | Dentist | 29001 Cedar Rd, Suite 404, Lyndhurst, OH 44124-4062 | 2013-04-11 |
| 1285923615 | Nannan Thirumavalavan | Urology | 29001 Cedar Rd, Lyndhurst, OH 44124 | 2011-04-06 |
| 1568751485 | Lawrence Scott Frankel | Dentist | 29001 Cedar Rd, Suite 400, Lyndhurst, OH 44124-4062 | 2011-03-31 |
| 1477855153 | University Hospitals Medical Group, Inc. | Plastic Surgery | 29001 Cedar Rd, Suite 202, Lyndhurst, OH 44124-4062 | 2010-12-01 |
| 1710291760 | Matthew David Kogan | Dentist | 29001 Cedar Rd, Suite 404, Lyndhurst, OH 44124-4062 | 2010-08-02 |
| 1164734869 | Jay C Resnick | Dentist | 29001 Cedar Rd, Suite 660, Lyndhurst, OH 44124-4062 | 2010-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487642856 | Regional Diagnostics LLC | Clinic/Center | 5183 Mayfield Rd, Lyndhurst, OH 44124-2405 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121521 | Executive Imaging, LLC | Clinic/Center | 1069 Delaware Ave Ste 104, Marion, OH 43302-6459 | 2020-07-21 |
| 1912532904 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 26151 Euclid Ave Ste 130, Euclid, OH 44132-3300 | 2020-03-10 |
| 1326510868 | Genetesis, Inc. | Clinic/Center | 5412 Courseview Dr Ste 150, Mason, OH 45040-2483 | 2018-12-21 |
| 1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
| 1710417605 | B&d Radiology Partners Pllc | Clinic/Center | 452 Ashsteade Ln, Cincinnati, OH 45255-3710 | 2017-06-14 |
| 1235671710 | Citran Xray LLC | Clinic/Center | 7774 Dayton Springfield Road, Fairborn, OH 45324-1996 | 2016-11-15 |
| 1598163164 | Fostoria Hospital Association | Clinic/Center | 455 W 4th St Ste 30, Fostoria, OH 44830-1864 | 2014-12-15 |
| 1487991360 | Birchcrest Holdings, LLC | Clinic/Center | 19250 Bagley Rd Ste 202, Cleveland, OH 44130 | 2013-01-11 |
| 1487922548 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 2800 Hayes Ave # Bdlgc130, Sandusky, OH 44870 | 2011-12-05 |
| 1164726360 | Birchcrest Holdings, LLC | Clinic/Center | 4760 Richmond Rd Ste 300, Cleveland, OH 44128 | 2011-01-03 |
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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.