SPECTRUM DIAGNOSTIC IMAGING OF OHIO LLC (NPI# 1639300015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639300015 |
| Entity Type | Organization |
| Organization Name | SPECTRUM DIAGNOSTIC IMAGING OF OHIO LLC |
| Practice Address |
7575 Northcliff Ave Suite 105 Brooklyn OH 44144-3267 |
| Mailing Address |
4400 Rockside Road Independence OH 44131 |
| Practice Telephone | 2163985551 |
| Practice Fax Number | 2163985589 |
| Mailing Telephone | 2165842900 |
| Mailing Fax Number | 2165842901 |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-10-06 |
| Authorized Official Name | DR. MARK ZHUK (CEO) |
| Authorized Official Telephone | 2165842900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023249547 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 150 Sw 12th Ave, #102, Pompano Beach, FL 33069-3298 | 2009-07-31 |
| 1972734481 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 3609 Park East Dr, Suite 101, Beachwood, OH 44122-4331 | 2009-07-31 |
| 1306077821 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 34600 Chardon Rd, Willoughby Hills, OH 44094-8480 | 2009-07-31 |
| 1184855694 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 20455 Lorain Rd, Cleveland, OH 44126-3494 | 2009-07-31 |
| 1437380946 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 4760 Richmond Rd, Cleveland, OH 44128-5978 | 2009-07-31 |
| 1104057611 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 5183 Mayfield Rd, Lyndhurst, OH 44124-2405 | 2009-07-31 |
| 1902037419 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 6900 Ridge Rd, Parma, OH 44129-5650 | 2009-07-31 |
| 1174754683 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 19250 Bagley Rd, Cleveland, OH 44130-3347 | 2009-07-31 |
| 1780815209 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 8401 Mentor Ave, Mentor, OH 44060-5842 | 2009-07-31 |
| Street Address |
7575 NORTHCLIFF AVE SUITE 105 |
| City | BROOKLYN |
| State | OH |
| Zip Code | 44144-3267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750373650 | Lawrence A Detwiler | Internal Medicine | 7575 Northcliff Ave, Suite 102, Brooklyn, OH 44144-3267 | 2005-08-17 |
| 1740890201 | Kellie King | Nurse Practitioner | 7575 Northcliff Ave, Brooklyn, OH 44144-3267 | 2020-08-08 |
| 1396399077 | Kimberly Annmarie Babich-speck | Nurse Practitioner | 7575 Northcliff Ave, Brooklyn, OH 44144-3267 | 2019-07-30 |
| 1578994042 | Molly Gumucio | Nurse Practitioner | 7575 Northcliff Ave, Brooklyn, OH 44144-3267 | 2013-12-09 |
| 1528311198 | Ridgepark Nurse Practitioners LLC | Nurse Practitioner | 7575 Northcliff Ave, Suite 400, Brooklyn, OH 44144-3267 | 2012-10-19 |
| 1225362726 | Witham and Associates, Inc. | Psychiatry & Neurology | 7575 Northcliff Ave, Suite 201, Brooklyn, OH 44144-3267 | 2009-09-30 |
| 1659571776 | Precision Orthopaedic Specailties, Inc. | Anesthesiology | 7575 Northcliff Ave, Suite 300, Brooklyn, OH 44144-3267 | 2007-07-18 |
| 1427107713 | Kristen Kay Holderman | Nurse Practitioner | 7575 Northcliff Ave, Suite 400, Brooklyn, OH 44144-3267 | 2007-01-09 |
| 1255433371 | Michele Moore | Family Medicine | 7575 Northcliff Ave, Suite 305, Brooklyn, OH 44144-3267 | 2006-09-01 |
| 1407865488 | Ridgepark Medical Associates, Inc. | Clinical Medical Laboratory | 7575 Northcliff Ave, Laboratory Suite 106, Brooklyn, OH 44144-3267 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023531399 | Jacques Pollard | Home Health | 4228 West 58 Street, Cleveland, OH 44144 | 2017-07-19 |
| 1992248264 | Navjot Mahal | Pharmacist | 4728 Springwood Dr, Brooklyn, OH 44144 | 2016-11-18 |
| 1033503800 | Adam Grassi | Specialist/Technologist | 5605 Behrwald Avenue, Cleveland, OH 44144 | 2015-03-19 |
| 1033529342 | Chad Wilson | Psychologist | 9200 Biddulph Road, Brooklyn, OH 44144 | 2014-05-08 |
| 1508103631 | Hearty Hearts Home Health, LLC. | Home Health | 4161 Ridge Road, Cleveland, OH 44144 | 2013-01-09 |
| 1821206160 | Theresa Mcquinta Glynn | Licensed Practical Nurse | 4519 Wichita, Cleveland, OH 44144 | 2007-05-18 |
| 1821156696 | Anthony James Wyrwas | Chiropractor | 7575 Northcliff Avenue, Suite 405, Brooklyn, OH 44144 | 2006-12-05 |
| 1891271813 | Steven V Kozmary Md LLC | Clinic/Center | 7575 Northcliff Ave Ste 200, Brooklyn, OH 44144 | 2018-07-12 |
| 1881047306 | Christina Ferraro | Nurse Practitioner | 9500 Euclid Ave, R32, Cleveland, OH 44144 | 2016-07-20 |
| 1730743014 | Dialene R Haines | Contractor | 4200 Westbrook Dr Apt 110, Brooklyn, OH 44144-1201 | 2019-04-23 |
| Find all providers in zip 44144 | ||||
| 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 |
|---|---|---|---|---|
| 1881249035 | Medical Diagnostic Inc. | Radiology | 306 Bay 14th St, Brooklyn, NY 11214-5810 | 2019-08-05 |
| 1023468717 | Sean Shorone Tamir | Radiology | 4802 Tenth Ave., Maimonides Medical Center, Department of Radiology, Brooklyn, NY 11219 | 2016-06-14 |
| 1841685435 | Junaid Aslam | Radiology | 8675 Bay Pkwy, Brooklyn, NY 11214-4186 | 2015-04-01 |
| 1639581358 | Avalon Radiology, P.C. | Radiology | 2085 West 11th Street, Brooklyn, NY 11223 | 2014-05-29 |
| 1972842789 | Brooklyn Medical Imaging PC | Radiology | 1608 59th St, Brooklyn, NY 11204-2129 | 2013-02-14 |
| 1346526829 | David A Zelman | Radiology | 1739 East 33rd St, Brooklyn, NY 11234-4423 | 2011-10-27 |
| 1366723876 | Bay Ridge Medical Imaging, P.c | Radiology | 7119 13th Ave, Brooklyn, NY 11228-1605 | 2011-08-30 |
| 1952689812 | Marina Perlov Radiology PC | Radiology | 115 Brightwater Ct Apt 6b, Brooklyn, NY 11235-7625 | 2011-07-26 |
| 1982992657 | Qwie T Chew | Radiology | 870 Ocean Ave, Brooklyn, NY 11226-6716 | 2011-07-15 |
| 1720390099 | Irina Rapoport | Radiology | 100 Oceana Dr W Apt 3c, Brooklyn, NY 11235-6651 | 2010-07-02 |
| Find all providers in BROOKLYN | ||||
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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.