DR. MARC DRAEGER (NPI# 1508077355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508077355 |
| Entity Type | Individual |
| Full Name | DR. MARC DRAEGER |
| Practice Address |
1867 E Fir Ave Suite 104 Fresno CA 93720-3808 |
| Practice Telephone | 5593255809 |
| Practice Fax Number | 5593255838 |
| Mailing Telephone | 5593255809 |
| Mailing Fax Number | 5593255838 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A115013 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | A115013 | 01 |
| Street Address |
1867 E FIR AVE SUITE 104 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721035 | Hans-joachim A Hildebrandt | Radiology | 1867 E Fir Ave, Suite 104, Fresno, CA 93720-3808 | 2005-06-24 |
| 1417186081 | Monique Anne Meyer | Radiology | 1867 E Fir Ave, Suite 104, Fresno, CA 93720-3808 | 2009-07-04 |
| 1275709883 | Nitasha G. Klar | Radiology | 1867 E Fir Ave, Suite 104, Fresno, CA 93720-3808 | 2008-05-03 |
| 1992901250 | Chanh Duy Nguyen | Radiology | 1867 E Fir Ave, Suite 104, Fresno, CA 93720-3808 | 2007-06-25 |
| 1053456806 | Ivan Ramirez | Radiology | 1867 E Fir Ave, Suite 104, Fresno, CA 93720-3808 | 2007-02-20 |
| 1659429603 | Edward F. Math | Radiology | 1867 E Fir Ave, Suite 104, Fresno, CA 93720-3808 | 2007-01-08 |
| 1235217043 | Diana J. Artenian | Radiology | 1867 E Fir Ave, Suite 101, Fresno, CA 93720 | 2006-11-01 |
| 1336222025 | Varun Mitroo | Radiology | 1867 E Fir Ave, Suite 104, Fresno, CA 93720-3808 | 2006-10-24 |
| 1497764468 | California Imaging Institute Medical Group, Inc. | Clinic/Center | 1867 E Fir Ave, Suite 101, Fresno, CA 93720-3841 | 2006-08-07 |
| 1316951577 | Phillip Tran | Radiology | 1867 E Fir Ave, Suite 104, Fresno, CA 93720-3808 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| 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 |
|---|---|---|---|---|
| 1699131730 | Quantum Medical Radiology of California, P.C. | Radiology | 5110 E Clinton Way, Fresno, CA 93727-2040 | 2016-01-05 |
| 1194025221 | Michael Emeel Mousa | Radiology | 228 S Clovis Ave, Fresno, CA 93727-4254 | 2010-10-22 |
| 1891822730 | Martin Schwartz | Radiology | 2868 W Fallbrook Ave, Fresno, CA 93711-0360 | 2007-02-27 |
| 1659456499 | Fresno Imaging Center | Radiology | 6191 N Thesta St, Fresno, CA 93710-5266 | 2006-10-26 |
| 1558459891 | Jeffrey Saavedra | Radiology | 1867 E Fir Ave Ste 101, Fresno, CA 93720-3841 | 2006-10-11 |
| 1770510760 | Anthony D Becker | Radiology | 1303 E Aerndon, Fresno, CA 93720 | 2006-06-27 |
| 1639117930 | James Clark Forsythe | Radiology | 5765 N Fresno St, Suite 105, Fresno, CA 93710-6092 | 2006-06-02 |
| 1477509438 | Fresno Imaging Center | Radiology | 6191 N Thesta, Fresno, CA 93710 | 2006-05-25 |
| 1568417582 | Central California Medical Imaging | Radiology | 1303 E Herndon, Fresno, CA 93720 | 2006-05-25 |
| 1528012168 | Wishon Radiological Medical Group, Inc. | Radiology | 6107 N Fresno St, Suite 101, Fresno, CA 93710-5207 | 2006-05-19 |
| Find all providers in FRESNO | ||||
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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.