MSN IMAGING PROFESSIONALS, INC (NPI# 1679665772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679665772 |
Entity Type | Organization |
Organization Name | MSN IMAGING PROFESSIONALS, INC |
Practice Address |
4330 W 150th St Suite 101 Cleveland OH 44135-1362 |
Practice Telephone | 2166888000 |
Practice Fax Number | 2166880075 |
Mailing Telephone | 2166888000 |
Mailing Fax Number | 2166880075 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. BRADLEY A BLACKBURN (PRESIDENT) |
Authorized Official Telephone | 2166888000 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35-053437 | OH | Allopathic & Osteopathic Physicians |
X | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
34-053437 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | ANTHEM | 000000169054 | 01 |
OH | QUALCHOICE | 92915 | 01 |
OH | 0629172 | 05 |
Street Address |
4330 W 150TH ST SUITE 101 |
City | CLEVELAND |
State | OH |
Zip Code | 44135-1362 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679523195 | Michelle M Albert | Physical Therapist | 4330 W 150th St, Cleveland, OH 44135-1362 | 2006-05-12 |
1215489927 | Kathryn Stroh | Occupational Therapist | 4330 W 150th St, Metrohealth Medical Center, Cleveland, OH 44135-1362 | 2016-10-28 |
1023342284 | Cynthia Gail Shahed | Nurse Practitioner | 4330 W 150th St, Suite 220, Cleveland, OH 44135-1362 | 2009-09-21 |
1598961039 | Fairview Hospital | Internal Medicine | 4330 W 150th St, Cleveland, OH 44135-1362 | 2007-06-22 |
1275667958 | The Foot and Ankle Clinic LLC | Podiatrist | 4330 W 150th St, 220, Cleveland, OH 44135-1362 | 2007-03-15 |
1104994219 | Vein Care of Ohio-west, LLC | Radiology | 4330 W 150th St, Suite 103, Cleveland, OH 44135-1362 | 2006-11-30 |
1306955117 | Msn Imaging, LLC | Clinic/Center | 4330 W 150th St, Suite 101, Cleveland, OH 44135-1362 | 2006-08-29 |
1861417982 | Mary D Boron | Nurse Practitioner | 4330 W 150th St, Metrohealth Outpatient Surgery Center, Cleveland, OH 44135-1362 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801387840 | Zachary David Pichler | Counselor | 17113 Martha Rd, Cleveland, OH 44135 | 2018-05-25 |
1487176301 | Mary Ann Mtonga | Nurse's Aide | 12600 Crossburn Ave, Cleveland, OH 44135 | 2017-07-12 |
1477963007 | Judy Rae Brimacombe | Occupational Therapist | 4550 W. 150th Street, Rg Jones Elementary School, Cleveland, OH 44135 | 2014-05-05 |
1548688799 | West Park Academy, Inc. | Local Education Agency (LEA) | 12913 Bennington, Cleveland, OH 44135 | 2014-04-04 |
1265724108 | Applewood Centers Incorporated | Community/Behavioral Health | 15517 Louis Avenue, Cleveland, OH 44135 | 2011-05-11 |
1932343480 | Alpha Home Health Agency,llc | Home Health | 14836 Puritas Avenue, Cleveland, OH 44135 | 2009-04-28 |
1811035256 | Abeel A Mangi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave Desk H-35, Cleveland Clinic Foundation, Cleveland, OH 44135 | 2007-02-01 |
1548341126 | Walter Michael Vieweg | Family Medicine | 5900 South Cargo Rd, Cleveland, OH 44135 | 2006-10-18 |
1245331511 | Javier L Clemente | Specialist/Technologist, Other | 18099 Lorain Rd, Ste 316, Cleveland, OH 44135 | 2006-09-26 |
1346254372 | Frank Joseph Kysela Iv | Dentist | 4406 Rocky River Dr, Cleveland, OH 44135 | 2006-07-27 |
Find all providers in zip 44135 |
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 |
---|---|---|---|---|
1568845279 | Rod Momenian | Radiology | 9500 Euclid Ave # Oh44195, Cleveland, OH 44195-1716 | 2015-06-30 |
1508123985 | Allan Chiunda | Radiology | Cleveland Clinic Foundation Diagnostic 9500 Ave, Cleveland, OH 44195-0001 | 2012-04-23 |
1659652915 | Fatemeh Abdollahi Mofakham | Radiology | 9500 Euclid Ave # A21, Cleveland, OH 44195-0006 | 2011-08-31 |
1306008743 | Leah Kim Sieck | Radiology | Crile Building Desk A 10, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2008-06-26 |
1962669754 | Aqeel Ahmad Chowdhry | Radiology | 1445 E 105th St, Cleveland, OH 44106-1137 | 2008-05-20 |
1912174954 | Laura Hagen Dean | Radiology | 9500 Euclid Ave # A10, Cleveland, OH 44195-0001 | 2008-05-09 |
1164610671 | Claus Simpfendorfer | Radiology | 9500 Euclid Ave - Desk A21, Cleveland, OH 44195 | 2007-10-10 |
1427257716 | Daniel Michael Roesel | Radiology | 9500 Euclid Ave # Hb6, Cleveland, OH 44195-5114 | 2007-07-16 |
1124222872 | Christopher Coppa | Radiology | 9500 Euclid Avenue, Hb6, Cleveland Clinic Foundation, Cleveland, OH 44195 | 2007-06-14 |
1891900114 | Rosalinn Santa Cruz | Radiology | 25001 Emery Rd Ste 100, Cleveland, OH 44128-5627 | 2007-05-11 |
Find all providers in CLEVELAND |
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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.