MEDICAL CENTER RADIOLOGISTS INC (NPI# 1720079254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720079254 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTER RADIOLOGISTS INC |
| Practice Address |
5544 Greenwich Rd Suite 200 Virginia Beach VA 23462-6563 |
| Mailing Address |
Po Box 41115 Norfolk VA 23541-1115 |
| Practice Telephone | 7574660089 |
| Practice Fax Number | 7574668017 |
| Mailing Telephone | 7574660089 |
| Mailing Fax Number | 7574668017 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | DR. ADAM WAYNE SPECHT (PRES OF MED CTR RADIOLOGISTS INC) |
| Authorized Official Telephone | 7574660089 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SENTARA | 165565 | 01 |
| NC | 8902126 | 05 | |
| VA | SENTARA | 100042 | 01 |
| VA | OPTIMA | 100042 | 01 |
| VA | OPTIMA | 165565 | 01 |
| VA | RR MEDICARE | CA5826 | 01 |
| VA | 1720079254 | 05 | |
| VA | BCBS | 139178 | 01 |
| NC | BCBS | 02126 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054276 | Medical Center Radiologists Inc | Physician Assistant | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MEDICAL CENTER RADIOLOGISTS INC. | 5544 Greenwich Rd Ste 200, Virginia Beach, Virginia 23462-6563 |
| Street Address |
5544 GREENWICH RD SUITE 200 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-6563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241981 | Odyssey Healthcare Operating B Lp | Hospice Care, Community Based | 5544 Greenwich Rd, Suite 202, Virginia Beach, VA 23462-6563 | 2005-08-04 |
| 1952768228 | Francine Tanyag | Physical Therapist | 5544 Greenwich Rd, Virginia Beach, VA 23462-6563 | 2016-01-18 |
| 1932405941 | Amy Leigh Graham | Occupational Therapist | 5544 Greenwich Rd, Ste 300, Virginia Beach, VA 23462-6563 | 2011-02-09 |
| 1881625051 | Gentiva Certified Healthcare Corp. | Home Health | 5544 Greenwich Rd, Suite 300, Virginia Beach, VA 23462-6563 | 2006-07-06 |
| 1346226537 | Ronald L King | Radiology | 5544 Greenwich Rd, Ste.200, Virginia Beach, VA 23462-6563 | 2005-12-20 |
| 1861478216 | Gerald F Dominick | Physician Assistant | 5544 Greenwich Rd, Ste.200, Virginia Beach, VA 23462-6563 | 2005-12-19 |
| 1780660274 | Roger R Stenlund | Radiology | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 | 2005-12-16 |
| 1679558217 | John V. Whitbeck | Radiology | 5544 Greenwich Rd, Ste.200, Virginia Beach, VA 23462-6563 | 2005-12-07 |
| 1225012859 | William F Wheeler | Radiology | 5544 Greenwich Rd, Ste.200, Virginia Beach, VA 23462-6563 | 2005-12-06 |
| 1720062912 | Robert A Woolfitt | Radiology | 5544 Greenwich Rd, Ste.200, Virginia Beach, VA 23462-6563 | 2005-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| 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 |
|---|---|---|---|---|
| 1558500900 | Lisa Harris | Radiology | 1083 Independence Blvd, Suite 120, Virginia Beach, VA 23455-5523 | 2009-02-09 |
| 1407956683 | Rose Devera-hipol Md & Manuel A Hipol Md PC | Radiology | 701 Independence Circle, Suite 102, Virginia Beach, VA 23455 | 2006-09-25 |
| 1801907225 | Melissa Roedel Johnson | Radiology | 2673 Wimbledon Point Dr, Virginia Beach, VA 23454-1171 | 2006-08-31 |
| 1619902913 | John Wayne Pinkston | Radiology | 400 S Witchduck Rd, Suite 110, Virginia Beach, VA 23462-3635 | 2006-07-12 |
| 1720049729 | Felix Austin Hughes IIi | Radiology | 207a 60th St, Virginia Beach, VA 23451-2112 | 2006-03-29 |
| 1124002217 | Steven Ward Davis | Radiology | 2208 Kistler Ct, Virginia Beach, VA 23454-7402 | 2005-12-01 |
| 1417950023 | Carol J Ashman | Radiology | 4668 Pembroke Blvd, Ste 117, Virginia Beach, VA 23455-6423 | 2005-05-27 |
| 1548606064 | Kyle Spagnolo | Radiology | 5544 Greenwich Rd Ste 200, Virginia Beach, VA 23462-6563 | 2013-05-13 |
| 1558503904 | Deboki Nandan Chaudhuri | Radiology | 5544 Greenwich Rd Ste 200, Virginia Beach, VA 23462-6563 | 2009-04-01 |
| 1528200094 | Zeal Patel | Radiology | 5544 Greenwich Rd Ste 200, Virginia Beach, VA 23462-6563 | 2009-03-30 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
Please comment or provide details below to improve the information on MEDICAL CENTER RADIOLOGISTS INC.
| 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.