MILFORD DIAGNOSTIC IMAGINE PA (NPI# 1689674533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689674533 |
| Entity Type | Organization |
| Organization Name | MILFORD DIAGNOSTIC IMAGINE PA |
| Other Organization Name | MILFORD DIAGNOSTIC IMAGING |
| Practice Address |
21 W Clarke Ave Milford DE 19963-1840 |
| Practice Telephone | 6104593113 |
| Mailing Telephone | 6104593113 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JEFFERY JACKERSON (HEAD DOCTOR) |
| Authorized Official Telephone | 6104593113 |
| 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 |
========= | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000603202 | 05 |
| Other Name | Type Code |
|---|---|
| MILFORD DIAGNOSTIC IMAGING | Other Name - Individual/Organization |
| Street Address |
21 W CLARKE AVE |
| City | MILFORD |
| State | DE |
| Zip Code | 19963-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316579634 | Banyan Delaware LLC | Substance Abuse Rehabilitation Facility | 21 W Clarke Ave, Milford, DE 19963-1840 | 2020-02-05 |
| 1538700406 | Polaris Healthcare and Rehabilitation Center LLC | Skilled Nursing Facility | 21 W Clarke Ave, Milford, DE 19963-1840 | 2019-10-02 |
| 1588159255 | Pamela Sue Pearson-williams | Dietitian, Registered | 21 W Clarke Ave, Milford, DE 19963-1840 | 2018-06-26 |
| 1205346772 | Bobbi Lynn Hensey | Registered Nurse | 21 W Clarke Ave, Milford, DE 19963-1840 | 2017-10-10 |
| 1841700135 | Brandy Marie Magee | Nurse Practitioner | 21 W Clarke Ave, Milford, DE 19963-1840 | 2017-10-02 |
| 1386178382 | Kea Mason-johnson | Social Worker | 21 W Clarke Ave, Milford, DE 19963-1840 | 2017-04-17 |
| 1932647864 | Hilary Webb | Occupational Therapy Assistant | 21 W Clarke Ave, Milford, DE 19963-1840 | 2017-02-12 |
| 1780056770 | Bryan Merie Jalando-on | Occupational Therapist | 21 W Clarke Ave, Milford, DE 19963-1840 | 2015-10-29 |
| 1619304300 | Ob Hospitalist Services Delaware Pa | Emergency Medicine | 21 W Clarke Ave, Milford, DE 19963-1840 | 2013-09-26 |
| 1821421504 | Sara Riddleberger | Physical Therapy Assistant | 21 W Clarke Ave, Milford, DE 19963-1840 | 2013-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306302336 | Auto Accident Pain & Rehab, LLC | Chiropractor | 907 N. Dupent Hwy, Suite 103, Milford, DE 19963 | 2019-02-14 |
| 1316402530 | Kelsey Ann Queen | Behavioral Analyst | 1010-1012 Mattlind Way, Milford, DE 19963 | 2019-02-01 |
| 1184136350 | Paul Inge | Nurse Practitioner | 301 Jefferson Avenue, Mail Code 3119, Milford, DE 19963 | 2017-10-27 |
| 1346779774 | Leo Fernandez | Physical Therapist | 300 Hall Place, Milford, DE 19963 | 2017-06-08 |
| 1932642824 | Taryn Guyer | Occupational Therapy Assistant | 17123 Brittany Place, Milford, DE 19963 | 2016-11-23 |
| 1073985602 | Darren Wayne Camper | Physical Therapy Assistant | 800 Airport Road Suite 102, Milford, DE 19963 | 2015-10-22 |
| 1316327091 | Chayil Healthcare LLC | Home Health | 686 Norht Dupont Hwy, Pmb#155, Milford, DE 19963 | 2015-06-08 |
| 1750717773 | Katie Roney | Behavioral Analyst | 1010 Mattlind Way, Milford, DE 19963 | 2013-09-23 |
| 1083961460 | Halleh Asadpour | Dentist | 215 W Liberty Way, Milford, DE 19963 | 2012-08-06 |
| 1225318033 | Betsy Campana | Pharmacist | 21 S. Clarke Ave, Milford, DE 19963 | 2011-08-24 |
| Find all providers in zip 19963 | ||||
| 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 |
|---|---|---|---|---|
| 1467789164 | Edward Joel Goldstein | Radiology | 8 Lexington Drive, Milford, DE 19963-2113 | 2009-11-17 |
| 1992966519 | Mae Mae Andrea Yu-shih Mirabelli | Radiology | 61 Zurko Farm Rd, Milford, CT 06461-3064 | 2008-06-17 |
| 1710094396 | Brian L Coolbaugh | Radiology | Milford Hospital, 14 Prospect Street, Radiology, Milford, MA 01757 | 2006-08-23 |
| 1700993391 | James Joseph Kelly | Radiology | Milford-whitinsville Hos, 14 Prospect Street, Milford, MA 01757 | 2006-08-23 |
| 1083720932 | Maria T Gualtieri | Radiology | Milford Imaging/radiology, 14 Prospect Street, Milford, MA 01757 | 2006-08-22 |
| 1053391953 | Jonathan L Patterson | Radiology | 3 Victoria Dr, Milford, DE 19963-9661 | 2006-01-18 |
| 1760949606 | Bayhealth Medical Center, Inc. | Radiology | 100 Wellness Way, Milford, DE 19963-4364 | 2019-02-27 |
| 1760621825 | Diagnostic Imaging of Milford, PC | Radiology | 30 Commerce Park, Milford, CT 06460-3551 | 2009-02-13 |
| 1245367127 | Kenneth M Hoffman | Radiology | 14 Prospect St, Milford, MA 01757-3003 | 2007-02-27 |
| 1497867154 | Michael J Thompson | Radiology | 14 Prospect St, Milford, MA 01757-3003 | 2006-08-31 |
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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.