PROFESIONAL MEDICAL IMAGING SOLUTIONS LLC (NPI# 1477586055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477586055 |
| Entity Type | Organization |
| Organization Name | PROFESIONAL MEDICAL IMAGING SOLUTIONS LLC |
| Other Organization Name | PET IMAGING AT WHITE MARSH |
| Practice Address |
9900 Franklin Square Dr Baltimore MD 21236-5915 |
| Practice Telephone | 4109314738 |
| Practice Fax Number | 4109312989 |
| Mailing Telephone | 4109314738 |
| Mailing Fax Number | 4109312989 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | ROBERT MULREANSY (PRESIDENT) |
| Authorized Official Telephone | 4109314738 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUE SHIELD | KBB6PE | 01 |
| DC | BLUE SHIELD | S354 | 01 |
| Other Name | Type Code |
|---|---|
| PET Imaging at White Marsh | Doing Business As Name - Organization |
| Street Address |
9900 FRANKLIN SQUARE DR |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21236-5915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| 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 |
|---|---|---|---|---|
| 1235510983 | David Jinkyu Lee | Radiology | 601 N Caroline St # 3251, Baltimore, MD 21287-0006 | 2015-06-17 |
| 1639556467 | Samarth Gola | Radiology | 601 N Caroline St Ofc 3014, Baltimore, MD 21287-0006 | 2015-04-30 |
| 1386059400 | Daniel Ryan | Radiology | 600 N. Wolfe Street Phipps Bldg, Room B-100, Baltimore, MD 21287 | 2014-06-26 |
| 1538415633 | Ammar K. Al-ibraheemi | Radiology | 601 N Wolfe St Rm 3235a, Baltimore, MD 21287-0004 | 2012-07-26 |
| 1609165042 | Sunpreet Singh Tandon | Radiology | 4940 Eastern Ave Fl 1, Baltimore, MD 21224-2735 | 2011-04-06 |
| 1639476948 | Byung Chul Yoon | Radiology | 1620 Mcelderry St Apt 515, Baltimore, MD 21205 | 2011-02-23 |
| 1730484619 | Howard Allen Davidov | Radiology | 7221 Denberg Rd, Baltimore, MD 21209-1038 | 2011-01-24 |
| 1306075056 | Elnasif Arrayeh | Radiology | 601 N Caroline St # 3235a, Baltimore, MD 21287-0006 | 2009-07-02 |
| 1922234558 | Kristin K. Porter | Radiology | Radiology Department Johns Hopkins Hospital, 600 N Wolfe Street, Baltimore, MD 21287-0001 | 2009-06-10 |
| 1386884302 | Elizabeth Kristine Weihe | Radiology | 601 N Caroline St # 3142, Baltimore, MD 21287-7406 | 2009-03-03 |
| Find all providers in BALTIMORE | ||||
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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.