EXTREMITY IMAGING PARTNERS INC (NPI# 1528058245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528058245 |
| Entity Type | Organization |
| Organization Name | EXTREMITY IMAGING PARTNERS INC |
| Practice Address |
4500 Brooktree Rd Ste 100 Wexford PA 15090-9289 |
| Mailing Address |
4500 Brooktree Rd Ste 300 Wexford PA 15090-9289 |
| Practice Telephone | 8663987364 |
| Practice Fax Number | 8662670144 |
| Mailing Telephone | 8663987364 |
| Mailing Fax Number | 8662670144 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2009-07-08 |
| Authorized Official Name | A JEROME DIGIACOBBE (CEO) |
| Authorized Official Telephone | 8663987364 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BCBS | 000000340701 | 01 |
| PA | AETNA | 7823651 | 01 |
| PA | 1009572010004 | 05 | |
| PA | HEALTH ASSURANCE | 258396 | 01 |
| PA | W/C US DEPT OF LABOR OWPC | 300686212 | 01 |
| OH | 2273614 | 05 | |
| PA | 1009572010001 | 05 | |
| PA | ONE CALL MEDICAL | PA255 | 01 |
| PA | 1009572010003 | 05 | |
| IN | ANTHEM BCBS | 000000340701 | 01 |
| OH | ANTHEM BCBS-DAYTON | 000000378160 | 01 |
| PA | 1009572010002 | 05 | |
| KS | 200423690A | 05 |
| Street Address |
4500 BROOKTREE RD STE 100 |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090-9289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689763120 | Mark Ira Robbins | Radiology | 4500 Brooktree Rd, Suite 300, Wexford, PA 15090-9289 | 2006-10-12 |
| 1083642235 | Joel Louis Rosner | Radiology | 4500 Brooktree Rd, Suite 300, Wexford, PA 15090-9289 | 2006-06-28 |
| 1043255847 | American Radiologic Technologies, PC | Radiology | 4500 Brooktree Rd, Suite 300, Wexford, PA 15090-9289 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
| 1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
| 1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
| 1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
| 1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
| 1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
| 1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
| 1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
| 1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
| 1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
| Find all providers in zip 15090 | ||||
| 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 |
|---|---|---|---|---|
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| 1790116358 | Louis Boyce | Radiologic Technologist | 425 E Meyer Ave, New Castle, PA 16105-2276 | 2013-12-09 |
| 1164756300 | Keystone Diagnostics and Mri, LLC | Radiologic Technologist | 7625 Ogontz Ave, Philadelphia, PA 19150-1816 | 2009-09-21 |
| 1871727693 | Walter George Mills | Radiologic Technologist | 1643 Beatty Rd, Needmore, PA 17238-8812 | 2009-05-07 |
| 1003071028 | Kathi Jo Haston | Radiologic Technologist | 7 Westwood Ct, Newtown, PA 18940-1468 | 2008-07-21 |
| 1427261098 | Mary Kay O'conor | Radiologic Technologist | 346 Church St, St Marys, PA 15857 | 2007-05-08 |
| 1477509834 | Rittenhouse Imaging Center, Lp | Radiologic Technologist | 22 Morehall Rd, Route 29, Malvern, PA 19355-1723 | 2006-05-26 |
| 1861928392 | Gregory Woelfl | Radiologic Technologist | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2017-05-03 |
| 1417100892 | Mri Diagnoistic and Imaging Center | Radiologic Technologist | 230 Independence Rd, East Stroudsburg, PA 18301-9447 | 2008-10-29 |
| 1811175854 | Zachary B Barr | Radiologic Technologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2008-02-01 |
| 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.