H JAMES VANDOLAH


Address: 5322 W Northern Ave, Southwest Diagnostic Imaging Ltd, Glendale, AZ 85301
Phone: 4804255063

H JAMES VANDOLAH (NPI# 1386633329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386633329
Entity Type Individual
Full Name H JAMES VANDOLAH
Credential MD
Practice Address 5322 W Northern Ave
Southwest Diagnostic Imaging Ltd
Glendale
AZ 85301
Practice Telephone 4804255063
Practice Fax Number 6239156924
Mailing Telephone 4804255063
Mailing Fax Number 6239156924
Enumeration Date 2005-10-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
7517 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ AHCCCS 244129 01
AZ VRL 30WCFHS17 01

Office Location

Street Address 5322 W NORTHERN AVE
SOUTHWEST DIAGNOSTIC IMAGING LTD
City GLENDALE
State AZ
Zip Code 85301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083603039 Jan H Brekke Radiology 5322 W Northern Ave, Glendale, AZ 85301-1405 2005-10-20
1477543411 Peter M Steinberg Radiology 5322 W Northern Ave, Glendale, AZ 85301-1405 2005-10-21
1932198975 Austin L Spitzer Radiology 5322 W Northern Ave, Southwest Diagnostic Imaging Ltd, Glendale, AZ 85301-1405 2005-10-20
1992794937 Jeffrey H Watters Radiology 5322 W Northern Ave, Southwest Diagnostic Imaging Ltd, Glendale, AZ 85301-1405 2005-10-20
1184613135 Eugene Oh Radiology 5322 W Northern Ave, Southwest Diagnostic Imaging Ltd, Glendale, AZ 85301-1405 2005-10-20
1134118185 Kirk A Bucon Radiology 5322 W Northern Ave, Southwest Diagnostic Imaging Ltd, Glendale, AZ 85301-1405 2005-10-20
1770572729 Walter H Magen Radiology 5322 W Northern Ave, Southwest Diagnostic Imaging Ltd, Glendale, AZ 85301-1405 2005-10-20
1407845464 Howard B Fleishon Radiology 5322 W Northern Ave, Glendale, AZ 85301-1405 2005-10-20
1689663643 Daryl P Beabeau Radiology 5322 W Northern Ave, Southwest Diagnostic Imaging Ltd, Glendale, AZ 85301-1405 2005-10-20
1124017181 John H Mabry Radiology 5322 W Northern Ave, Southwest Diagnostic Imaging Ltd, Glendale, AZ 85301-1405 2005-10-20
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NPI Name Taxonomy Address Enumeration
1164051900 Stateserv Medical of Phoenix LLC Durable Medical Equipment & Medical Supplies 5234 W. Missouri, Glendale, AZ 85301 2020-04-03
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1306227830 Sage Counseling, Inc. Community/Behavioral Health 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 2015-06-10
1477802023 Lori Wyke Specialist/Technologist 7301 N. 58th Avenue, Glendale, AZ 85301 2012-08-29
1144581257 Jerry Harold Brue Pharmacist 7772 N 52nd Dr, Glendale, AZ 85301 2012-06-05
1558632935 Jasmine Rojas Licensed Practical Nurse 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 2012-01-18
1184950438 Victoria Joan Petti Physical Therapist 5125 N. 58th Ave, Glendale, AZ 85301 2009-10-21
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1992940241 Lorraine Pimentel Montes Specialist 4441 W. Bethany Home Rd, Glendale, AZ 85301 2008-12-15
1770739922 Patricia Lee Click Social Worker 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 2008-08-07
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

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1780154153 Bay Imaging Consultants Medical Group Radiology 435 W Los Feliz Rd Unit 462, Glendale, CA 91204-3569 2018-11-28
1851893317 Main Street Radiology At Bayside LLC Radiology 8314 Cooper Ave, Glendale, NY 11385-7722 2018-03-01
1609284660 Armen Aivazi Radiology 3335 Deer Creek Ln, Glendale, CA 91208-1166 2014-07-23
1043543275 Smi Imaging, LLC Radiology 5410 W Thunderbird Rd Ste 221, Glendale, AZ 85306-4711 2009-09-04
1558594747 Smi Imaging, LLC Radiology 5410 W Thunderbird Rd Ste 100, Glendale, AZ 85306-4711 2009-09-03
1336387059 Saadet Atay-rosenthal Radiology 5601 W Saguaro Park Ln, Glendale, AZ 85310-2815 2009-02-03
1912166968 Jeanne C Lammering Radiology 1144 Cordova Ave, Glendale, CA 91207-1751 2008-06-05
1740403104 Glendale Diagnostic Imaging Network Medical Office, Inc Radiology 403 S Glendale Ave, Glendale, CA 91205-2222 2007-04-11
1689750382 James Chouming Wu Radiology 1420 South Central Avenue, Glendale, CA 91204 2006-10-27
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City GLENDALE
Zip Code 85301

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Dataset Information

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.

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