CLINICAL RADIOLOGISTS, S.C. (NPI# 1689010605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689010605 |
Entity Type | Organization |
Organization Name | CLINICAL RADIOLOGISTS, S.C. |
Practice Address |
331 S 36th St Suite 2 Quincy IL 62301-5840 |
Practice Telephone | 2172229302 |
Mailing Telephone | 2172229302 |
Enumeration Date | 2013-05-16 |
Last Update Date | 2013-05-16 |
Authorized Official Name | THOMAS C DICKERSON (CEO) |
Authorized Official Telephone | 2172229302 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992114714 | Clinical Radiologists, S.c. | Radiology | 295 Fox Dr, Boulder, CO 80303-3529 | 2014-08-06 |
1710310495 | Clinical Radiologists, S.c. | Radiology | 1610 Fair Oaks Dr, Westlake, TX 76262-8209 | 2013-08-16 |
1700219482 | Clinical Radiologists, S.c. | Radiology | 805 Saint Louis St, Edwardsville, IL 62025-1428 | 2013-08-16 |
1134552821 | Clinical Radiologists, S.c. | Radiology | 2812 Pat Tillman Dr, Springfield, IL 62711-6410 | 2013-08-16 |
1780016394 | Clinical Radiologists, S.c. | Radiology | 1005 Broadway St, Quincy, IL 62301-2834 | 2013-08-06 |
1164864450 | Clinical Radiologists, S.c. | Radiology | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2013-07-27 |
1780020701 | Clinical Radiologists, S.c. | Radiology | 3050 Montvale Dr, Suite A, Springfield, IL 62704-4290 | 2013-05-16 |
1063469252 | Clinical Radiologists, S.c. | Radiology | 701 N 1st St, Springfield, IL 62781-0001 | 2006-05-31 |
Street Address |
331 S 36TH ST SUITE 2 |
City | QUINCY |
State | IL |
Zip Code | 62301-5840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417238700 | Lora L Nation | Dentist | 331 S 36th St, Suite 1, Quincy, IL 62301-5840 | 2011-08-31 |
1700330404 | Wecare Tlc - Knapheide Family Wellness | Clinic/Center | 331 S 36th St, Quincy, IL 62301-5840 | 2016-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
Find all providers in zip 62301 |
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 |
---|---|---|---|---|
1780016394 | Clinical Radiologists, S.c. | Radiology | 1005 Broadway St, Quincy, IL 62301-2834 | 2013-08-06 |
1356531495 | Geetanjali Kapoor Kulkarni | Radiology | 114 Whitwell St, Quincy, MA 02169-1870 | 2007-07-25 |
1720286073 | Bruno J West | Radiology | 114 Whitwell St, Radiology Dept, Quincy, MA 02169-1870 | 2007-07-09 |
1184821894 | Gerald T Riley | Radiology | 1025 Maine St, Quincy, IL 62301-4038 | 2007-06-27 |
1720132541 | Carl Warner Carlson | Radiology | 114 Whitwell St, Quincy, MA 02169-1870 | 2007-01-22 |
1588693949 | Debra Sue Oden | Radiology | 1025 Maine St, Quincy, IL 62301-4038 | 2006-06-30 |
1548226517 | James L Hayes | Radiology | 1250 Hancock St, Quincy, MA 02169-4339 | 2006-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
1730652017 | Diaspora Radiology, Sc | Radiology | 2602 Mulberry Ln, Northbrook, IL 60062-5937 | 2019-01-09 |
1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
1043796543 | Quantum Medical Radiology of California, P.C. | Radiology | 374 W Seminary Ave, Wheaton, IL 60187-5002 | 2018-07-17 |
1215429501 | The Open Mri Center | Radiology | 3123 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-06-01 |
1649769746 | Envision Medical Imaging, LLC | Radiology | 915 National Pkwy Ste 915-20, Schaumburg, IL 60173-5160 | 2018-05-03 |
1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
1710427737 | Dorothea A Nazos | Radiology | 1810 Parkside Dr, Shorewood, IL 60404-0684 | 2017-02-24 |
1194275941 | Florida United Radiology, Lc | Radiology | 7 Pear Tree Ct, Charleston, IL 61920-4415 | 2016-10-05 |
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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.