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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
7517 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 244129 | 01 |
| AZ | VRL | 30WCFHS17 | 01 |
| Street Address |
5322 W NORTHERN AVE SOUTHWEST DIAGNOSTIC IMAGING LTD |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301 |
| 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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|---|---|---|---|---|
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 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 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 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 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. |
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| 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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| 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.