FULTON DIAGNOSTIC RADIOLOGY LLC (NPI# 1417100249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417100249 |
| Entity Type | Organization |
| Organization Name | FULTON DIAGNOSTIC RADIOLOGY LLC |
| Practice Address |
214 Peach Orchard Rd Mc Connellsburg PA 17233-8559 |
| Mailing Address |
10715 Downsville Pike Ste 103 Hagerstown MD 21740-7240 |
| Practice Telephone | 3017396144 |
| Mailing Telephone | 3017396144 |
| Mailing Fax Number | 3017396163 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | MR. MICHAEL ZAMPELLI (COO) |
| Authorized Official Telephone | 3017396147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | DP1754 | 01 | |
| PA | 1022427920001 | 05 |
| Street Address |
214 PEACH ORCHARD RD |
| City | MC CONNELLSBURG |
| State | PA |
| Zip Code | 17233-8559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303919 | Ronald Pluszczynski | Obstetrics & Gynecology | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2005-06-02 |
| 1922617117 | Gregory Franko | Emergency Medicine | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2020-07-24 |
| 1417503806 | Jessica Lee Potash | Speech-Language Pathologist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2019-08-13 |
| 1689226466 | Jenna Lee Mills | Speech-Language Pathologist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2019-07-12 |
| 1760046064 | Dialysis Care Center Fulton County LLC | Clinic/Center | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2019-04-23 |
| 1952869976 | Erin Jenine Pistner | Social Worker | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2019-03-08 |
| 1659842649 | Rachael Rupprecht | Speech-Language Pathologist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2018-12-17 |
| 1154800910 | Rita Dawn Sipes | Nurse Practitioner | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2018-08-12 |
| 1801316484 | Colleen Marie Powers | Speech-Language Pathologist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2017-06-23 |
| 1548790512 | Deann Laura Hawkins | Physical Therapist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2017-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124394655 | Amy J Whitsel | Nurse Practitioner | 114 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2012-03-29 |
| 1083780407 | Steven S Cohen | Family Medicine | 292 Buchanan Trail, Mcconnellsburg, PA 17233 | 2006-11-28 |
| 1063591238 | Svm3 Pharma Inc | Pharmacy | 182 Buchanan Trail, Suite: 150, Mcconnellsburg, PA 17233 | 2006-11-06 |
| 1821179615 | Joseph G Wolfe | Dentist | 214 Lincoln Way East, Mcconnellsburg, PA 17233 | 2006-10-18 |
| 1619951183 | Elizabeth T. Gotwals | Social Worker | 214 Peach Orchard Road, Mc Connellsburg, PA 17233 | 2005-11-30 |
| 1790300374 | Abagael Marie Peck | Physician Assistant | 214 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2020-06-10 |
| 1831691625 | Jordan Alexis Kaminsky | Occupational Therapist | 214 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2018-03-07 |
| 1962736934 | Fulton Behavioral Health Services PC | Psychologist | 214 Peach Orchard Road, Mc Connellsburg, PA 17233 | 2009-09-23 |
| 1801029087 | Jennifer A. Rhodes | Counselor | 214 Peach Orchard Road, Mc Connellsburg, PA 17233 | 2009-09-03 |
| 1881837177 | Summit Physician Services | Registered Nurse | 214 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2009-04-16 |
| Find all providers in zip 17233 | ||||
| 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 |
|---|---|---|---|---|
| 1700321684 | Fulton Diagnostic Radiology, LLC | Radiology | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2016-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359014 | Kimberly Ann Nulph-laseck | Radiology | 65 Market St, Albion, PA 16401-1131 | 2020-08-31 |
| 1407478878 | Bridget Podbielski | Radiology | 1301 Summit Dr, Royersford, PA 19468-2873 | 2020-05-08 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1518522770 | Michael Anthony Branco | Radiology | 340 Wellslee Dr, Chambersburg, PA 17201-8289 | 2019-05-03 |
| 1700369535 | Tower Health Medical Group | Radiology | 301 S 7th Ave Ste 135, West Reading, PA 19611-1442 | 2018-09-07 |
| 1841784899 | Kyle Rives | Radiology | 200 Lothrop Street Upmc Presbyterian, South Tower 2nd Floor Suite 200, Pittsburgh, PA 15213 | 2018-06-21 |
| 1285128892 | Solomon Amemasor | Radiology | 200 Lothrop St Ste 200, Pittsburgh, PA 15213-2536 | 2018-06-18 |
| 1326545898 | Lehigh Valley Hospital | Radiology | 320 W Pumping Station Rd Ste 2, Quakertown, PA 18951-2345 | 2018-04-10 |
| 1376054874 | Irad Services, Inc. | Radiology | 1811 Golden Mile Hwy Ste B, Pittsburgh, PA 15239-2847 | 2017-10-24 |
| 1639689482 | Anna Maria Polizio | Radiology | 496 Cherry Ct, Pittsburgh, PA 15237-2608 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
| City | MC CONNELLSBURG |
| Zip Code | 17233 |
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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.