RIVERDALE RADIOLOGY CENTER (NPI# 1447302344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447302344 |
| Entity Type | Organization |
| Organization Name | RIVERDALE RADIOLOGY CENTER |
| Other Organization Name | RCOM |
| Practice Address |
833 Walnut St Macon GA 31201-2617 |
| Mailing Address |
237 Medical Way Suite B Riverdale GA 30274-2522 |
| Practice Telephone | 4787452727 |
| Practice Fax Number | 4787452201 |
| Mailing Telephone | 7709090488 |
| Mailing Fax Number | 7709098245 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-09-05 |
| Authorized Official Name | CHANDRESH PATEL (CEO) |
| Authorized Official Telephone | 4787452727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| RCOM | Other Name - Individual/Organization |
| Street Address |
833 WALNUT ST |
| City | MACON |
| State | GA |
| Zip Code | 31201-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508801101 | Radiology Center of Macon LLC | Clinic/Center | 833 Walnut St, Macon, GA 31201 | 2006-06-18 |
| 1376813451 | Mip Medical Management | Internal Medicine | 833 Walnut St, Macon, GA 31201-2617 | 2012-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679812432 | Ashley Danielle Radford | Radiologic Technologist | 1504 Hardeman Ave, Ste B, Macon, GA 31201-1441 | 2013-02-13 |
| 1538479043 | Russell Scott Gibson | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1441 | 2010-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125227 | Svitlana N Payne | Radiologic Technologist | 593 Kelly Farm Rd, Newnan, GA 30265-1416 | 2020-05-09 |
| 1023416476 | Elizabeth Figueroa | Radiologic Technologist | 2521 Brighton Trl, Jonesboro, GA 30236-8806 | 2014-12-17 |
| 1720325087 | Jennifer Averett | Radiologic Technologist | 113a Fairview Park Dr, Dublin, GA 31021-2501 | 2013-01-07 |
| 1972740884 | Open Mri of Brunswick LLC | Radiologic Technologist | 2414 Parkwood Dr, Suite 100, Brunswick, GA 31520-4779 | 2009-01-14 |
| 1164599353 | Vidalia Open Mri, LLC | Radiologic Technologist | 3165 E 1st St, Vidalia, GA 30474-8830 | 2006-11-30 |
| 1477586568 | Dunwoody Imaging, LLC | Radiologic Technologist | 1750 Old Spring House Ln, Suite 205, Atlanta, GA 30338-6214 | 2006-07-09 |
| 1376984658 | Lloyd George Collins Jr. | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2013-07-15 |
| 1104060987 | Tattnall Hospital Company, LLC | Radiologic Technologist | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2009-04-24 |
| 1164646139 | Orthoatlanta, LLC | Radiologic Technologist | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2007-04-12 |
| 1053352096 | Opensided Mri of Atlanta, LLC | Radiologic Technologist | 993 Johnson Ferry Rd Ne, Suite105, Atlanta, GA 30342-1620 | 2006-06-09 |
| Find all providers with the same taxonomy | ||||
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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.