DIAGNOSTIC IMAGING OF IN PC (NPI# 1619951233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619951233 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC IMAGING OF IN PC |
| Practice Address |
2101 Dubois Dr Warsaw IN 46580-3210 |
| Mailing Address |
Po Box 11086 Fort Wayne IN 46855-1086 |
| Practice Telephone | 5742673200 |
| Practice Fax Number | 3148211833 |
| Mailing Telephone | 3148218055 |
| Mailing Fax Number | 3148211833 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN L HOSSLER (DIRECTOR OF RADIOLOGY) |
| Authorized Official Telephone | 5742673200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01034289A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ENCORE | 000000012713 | 01 | |
| OH | 0682426 | 05 | |
| TRAVELERS | CB0039 | 01 | |
| IN | BCBS | 000000084887 | 01 |
| PHP | 1414 | 01 |
| Street Address |
2101 DUBOIS DR |
| City | WARSAW |
| State | IN |
| Zip Code | 46580-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173306 | Warsaw Health System LLC | Medicare Defined Swing Bed Unit | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2020-10-30 |
| 1851902621 | Kristen M Bagot | Nurse Practitioner | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2020-08-13 |
| 1285262329 | Zachary Thomas Renew | Student in an Organized Health Care Education/Training Program | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2020-04-01 |
| 1134605488 | Tiffany Hines | Nurse Anesthetist, Certified Registered | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2018-07-18 |
| 1639526007 | Daniel Enyinnaya Nwankwo | Internal Medicine | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2016-05-16 |
| 1982857264 | Brian A. Crabill | Physician Assistant | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2008-10-30 |
| 1649426180 | Brian Gerrit Ockerse | Hospitalist | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2008-08-15 |
| 1558536623 | M. Beardslee Anesthesia Svc. Psc | Nurse Anesthetist, Certified Registered | 2101 Dubois Dr, Marilene Beardslee C/o Kosciusko Community Hospital, Warsaw, IN 46580-3210 | 2008-04-29 |
| 1609064328 | Penny Jean Zorn | Dietitian, Registered | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2007-10-09 |
| 1336337054 | Kelley Anne Meyer | Dietitian, Registered | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2007-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
| 1194255794 | Tyler Scott Kronk | Counselor | 105 Enterprise Drive, Warsaw, IN 46580 | 2017-06-15 |
| 1306244231 | Indiana Physical Therapy, Inc. | Clinic/Center | 3300 Lake City Hwy., Warsaw, IN 46580 | 2014-12-09 |
| 1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
| 1982956934 | Marsha Lynn Dreyer | Occupational Therapy Assistant | 300 E. Prairie Street, Warsaw, IN 46580 | 2012-10-15 |
| 1215286109 | Planned Parenthood of Indiana Warsaw | Clinic/Center | 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 | 2012-09-06 |
| 1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
| 1316132996 | Assisted Living Concepts Inc | Assisted Living Facility | 425 Chinworth Court, Warsaw, IN 46580 | 2007-09-07 |
| 1598986101 | Ericka Ester Haynes | Occupational Therapist | 900 Provident Drive, Warsaw, IN 46580 | 2007-05-01 |
| 1881819555 | Hartwiger Enterprises, Inc. | Home Health | 3510 Commerce Dr., Warsaw, IN 46580 | 2007-04-16 |
| Find all providers in zip 46580 | ||||
| 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 |
|---|---|---|---|---|
| 1144420241 | Neal Hong Young | Radiology | 40 N Main St, Wyoming County Community Health System, Warsaw, NY 14569 | 2007-07-18 |
| 1376591818 | Silver Lake Medical Imaging, LLC | Radiology | 400 N Main St, Warsaw, NY 14569-1025 | 2006-05-05 |
| 1902875495 | Ranee C Christopher | Radiology | 400 N Main St, Warsaw, NY 14569-1025 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295448 | Hassan Sawaf | Radiology | 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 | 2020-01-30 |
| 1326695479 | Proscan Imaging of Greenwood, LLC | Radiology | 965 Emerson Pkwy Ste E, Greenwood, IN 46143-6274 | 2019-08-23 |
| 1598235566 | A Mri, LLC | Radiology | 7301 N Shadeland Ave Ste 1d, Indianapolis, IN 46250-2085 | 2018-12-03 |
| 1033686639 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 220, Greenwood, IN 46143-8569 | 2018-11-01 |
| 1689141285 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 351, Greenwood, IN 46143-8569 | 2018-11-01 |
| 1598232241 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 350, Greenwood, IN 46143-8569 | 2018-10-31 |
| 1821571399 | Premier Medical Imaging LLC | Radiology | 2855 Miller Dr Ste 113, Plymouth, IN 46563-8091 | 2018-09-11 |
| 1922594225 | Lutheran Health Imaging LLC | Radiology | 1700 Alber St Ste 103, Wabash, IN 46992-1015 | 2018-07-10 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1093166274 | Medical Scanning Consultants, P.a. | Radiology | 3802 W Industrial Blvd, Suite 4, Bloomington, IN 47403-5141 | 2016-06-28 |
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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.