MOUNTAIN RADIOLOGY, PC (NPI# 1548868359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548868359 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN RADIOLOGY, PC |
| Practice Address |
100 Pioneers Medical Center Drive Pioneers Medical Center Meeker CO 81641 |
| Mailing Address |
Po Box #2010 Glenwood Springs CO 81602-2010 |
| Practice Telephone | 9709457564 |
| Practice Fax Number | 9709450563 |
| Mailing Telephone | 9709457564 |
| Mailing Fax Number | 9709450563 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | JASON M. DICARLO (PRESIDENT) |
| Authorized Official Telephone | 9709457564 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNTAIN RADIOLOGY, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04002960 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093823742 | Mountain Radiology, PC | Radiology | 1906 Blake Avenue, Glenwood Springs, CO 81601 | 2006-08-25 |
| 1639777204 | Mountain Radiology, PC | Radiology | 501 Airport Road, Grand River Hospital District, Glenwood Springs, CO 81650 | 2020-10-15 |
| Street Address |
100 PIONEERS MEDICAL CENTER DRIVE PIONEERS MEDICAL CENTER |
| City | MEEKER |
| State | CO |
| Zip Code | 81641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282053 | Cardinal Pathology, PC | Pathology | 100 Pioneers Medical Center Drive, Pioneers Medical Center, Meeker, CO 81641 | 2020-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552734 | Kelly E. Christian | Registered Nurse | 200 Main St Suite 200, Meeker, CO 81641 | 2020-03-04 |
| 1568954568 | Trevor Grant | Dentist | 660 7th Street, Meeker, CO 81641 | 2018-06-05 |
| 1124531637 | Teamwork Networking LLC | In Home Supportive Care | 685 Main St, Suite 5, Meeker, CO 81641 | 2017-11-07 |
| 1063963429 | Karen Iacuone | Registered Nurse | 354 Market St, Meeker, CO 81641 | 2016-10-20 |
| 1508241167 | Diana French | Massage Therapist | 730 6th St., Meeker, CO 81641 | 2015-07-24 |
| 1093148074 | Ute Crossing Counseling LLC | Social Worker | 685 Main St, 5-b, Meeker, CO 81641 | 2013-08-14 |
| 1760740013 | Dawn Marie Eichman | Massage Therapist | 335 6th Street, Suite 3a, Meeker, CO 81641 | 2012-04-24 |
| 1942531827 | Margaret Rose-andria Granzella | Massage Therapist | 594 Main St., Ste. 25, Meeker, CO 81641 | 2010-01-17 |
| 1912230277 | Kellie K Shew/jex | Physical Therapist | 756 Hill Street, Box 992, Meeker, CO 81641 | 2009-09-17 |
| 1285896092 | Linda K Hazelbaker Stewart | Occupational Therapist | 820 County Rd, 36, Meeker, CO 81641 | 2008-07-02 |
| Find all providers in zip 81641 | ||||
| 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. |
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|---|---|---|---|---|
| 1063013860 | Pueblo Radiological Group, P.C. | Radiology | 245 Balmoral Way, Colorado Springs, CO 80906-7907 | 2020-11-06 |
| 1154922938 | Pueblo Radiological Group, P.C. | Radiology | 3245 E Hwy 50 Unit E, Canon City, CO 81212-9343 | 2020-11-06 |
| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1346855905 | Cher LLC | Radiology | 2236 E Harmony Rd, Fort Collins, CO 80528-3412 | 2020-09-10 |
| 1376153965 | Colorado Springs Radiologists PC | Radiology | 5607 Barnes Rd # 140, Colorado Springs, CO 80917-1347 | 2020-08-07 |
| 1255949608 | Rocky Mountain Cancer Centers LLP | Radiology | 1800 N Williams St Ste 100, Denver, CO 80218-1237 | 2020-07-21 |
| 1376189258 | Smi Imaging LLC | Radiology | 7903 S Broadway Ste A, Littleton, CO 80122-2712 | 2019-11-26 |
| 1548806425 | Smi Imaging LLC | Radiology | 3840 Wadsworth Blvd Ste 5, Wheat Ridge, CO 80033-4613 | 2019-11-26 |
| 1881230829 | Smi Imaging LLC | Radiology | 939 N Broadway, Denver, CO 80203-2705 | 2019-11-25 |
| 1598301533 | Smi Imaging LLC | Radiology | 12520 Grant Dr Ste 200, Thornton, CO 80241-2512 | 2019-11-25 |
| 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.