RDR RADIOLOGY LLC (NPI# 1649778614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649778614 |
| Entity Type | Organization |
| Organization Name | RDR RADIOLOGY LLC |
| Practice Address |
425 Post Rd Fairfield CT 06824-6232 |
| Mailing Address |
4695 Main St Ste 5 Bridgeport CT 06606-1802 |
| Practice Telephone | 2034189680 |
| Practice Fax Number | 2032549244 |
| Mailing Telephone | 2035385233 |
| Mailing Fax Number | 2035385246 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | ROBERT RUSSO (PRESIDENT) |
| Authorized Official Telephone | 2035385233 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2909 Main St, Stratford, CT 066144960 | 2036730153 | 2033784788 |
| Street Address |
425 POST RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146802 | Gioia Jo Riccio | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2005-06-30 |
| 1730669920 | Angelina Angeli | Nurse Practitioner | 425 Post Rd, Fairfield, CT 06824-6232 | 2018-08-16 |
| 1023528270 | Skylar Krystina Robinson | Physician Assistant | 425 Post Rd, Fairfield, CT 06824-6232 | 2017-10-02 |
| 1083151898 | Brian Clancy | Physician Assistant | 425 Post Rd, Fairfield, CT 06824-6232 | 2017-01-31 |
| 1962885368 | Deepthi Naik | Family Medicine | 425 Post Rd, Fairfield, CT 06824 | 2015-07-02 |
| 1225370901 | Eric Louis Alter | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2013-03-20 |
| 1356668669 | Steven V Kardos | Urology | 425 Post Rd, 2nd Floor, Fairfield, CT 06824-6232 | 2010-04-26 |
| 1144482308 | Nicholas Lillo | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2008-06-30 |
| 1619134269 | Matthew S Wosnitzer | Urology | 425 Post Rd, Suite 204, Fairfield, CT 06824-6232 | 2008-05-21 |
| 1689852410 | Kevin Ryan Mcdonald | Physician Assistant | 425 Post Rd, Fairfield, CT 06824-6232 | 2008-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| 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 |
|---|---|---|---|---|
| 1437700531 | Fairfield Interventional and Vascular Specialists PC | Radiology | 1 Sasco Hill Rd Ste 2, Fairfield, CT 06824-5670 | 2019-09-20 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1255394227 | Bryson Dale Borg | Radiology | 4357 The Masters Dr, Fairfield, CA 94533-9514 | 2006-04-10 |
| 1336146802 | Gioia Jo Riccio | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2005-06-30 |
| 1114924693 | Robert D. Russo | Radiology | 75 Kings Highway Cutoff, Suite 1a, Fairfield, CT 06824-5340 | 2005-06-30 |
| 1114923893 | Orthopaedic Specialty Group, P.C. | Radiology | 305 Black Rock Tpke, Fairfield, CT 06825 | 2005-06-27 |
| 1972006534 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 4500 Business Center Dr, Fairfield, CA 94534-6888 | 2018-03-09 |
| 1548769284 | Bay Imaging Consultants Medical Group Inc | Radiology | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2018-02-08 |
| 1427414903 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 4500 Business Center Dr, Fairfield, CA 94534-6888 | 2016-01-13 |
| 1609264498 | Bay Imaging Consultants Medical Group | Radiology | 2700 Low Ct, Fairfield, CA 94534-9715 | 2014-12-31 |
| Find all providers in FAIRFIELD | ||||
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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.