PROCARE ULTRASOUND (NPI# 1417458233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417458233 |
| Entity Type | Organization |
| Organization Name | PROCARE ULTRASOUND |
| Practice Address |
4500 Satellite Blvd Ste 2190 Duluth GA 30096-8850 |
| Practice Telephone | 4045076797 |
| Mailing Telephone | 4045076797 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | HONG HUONG PHAM (ULTRASOUND TECH) |
| Authorized Official Telephone | 4045076797 |
| Authorized Official Credential | ARDMS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 293D00000X | Physiological Laboratory | Laboratories | ||
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
| Street Address |
4500 SATELLITE BLVD STE 2190 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-8850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738570 | Angel Thomas | Radiology | 21 Lake Shore Blvd, Port Wentworth, GA 31407-3612 | 2020-04-14 |
| 1699264093 | Lisa Iacofano | Radiology | 275 Carpenter Dr Ste 209, Atlanta, GA 30328-4910 | 2018-05-02 |
| 1043718471 | Lisa Ilson | Radiology | 950 Indian Trail Lilburn Rd Nw Ste 5d, Lilburn, GA 30047-6870 | 2018-01-31 |
| 1477704831 | South Atlanta Radiology Associates- Griffin | Radiology | 680a S 9th St, Griffin, GA 30224-4216 | 2008-10-03 |
| 1922264886 | Radiological Analysis & Digitization of X-rays | Radiology | 6810 Roswell Rd Ne, Suite 1-b, Sandy Springs, GA 30328-2445 | 2008-07-31 |
| 1578692570 | Ronald Wolf Harris | Radiology | 1914 Robinhood Rd, Albany, GA 31707-3126 | 2007-03-05 |
| 1437508140 | Uzoma Igboagi | Radiology | 1120 15th St, Augusta, GA 30912-0004 | 2016-06-03 |
| 1821341272 | Commerce Radiology, LLC | Radiology | 70 Medical Center Dr, Commerce, GA 30529-1078 | 2012-10-23 |
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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.