INDIANAPOLIS REGIONAL PET SCAN LLC (NPI# 1841299724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841299724 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS REGIONAL PET SCAN LLC |
| Practice Address |
3830 Shore Dr Suite B Indianapolis IN 46254-5657 |
| Mailing Address |
3733 Park East Dr Suite 100 Beachwood OH 44122-4338 |
| Practice Telephone | 3172970000 |
| Mailing Telephone | 2162929998 |
| Mailing Fax Number | 2162929799 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | MRS. NANCY WESTRICH (MANAGING PARTNER) |
| Authorized Official Telephone | 2162929998 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
R0577-49 | IN | Allopathic & Osteopathic Physicians |
| Street Address |
3830 SHORE DR SUITE B |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-5657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942394 | Indianapolis Physical Therapy and Sports Medicine Inc | Clinic/Center | 3830 Shore Dr, Indianapolis, IN 46254-5657 | 2005-06-16 |
| 1013427434 | Jason Moffitt | Specialist/Technologist | 3830 Shore Dr, Indianapolis, IN 46254-5657 | 2017-10-11 |
| 1356716153 | Andrew Catlin | Specialist/Technologist | 3830 Shore Dr, Indianapolis, IN 46254-5657 | 2015-12-04 |
| 1326275371 | Matthew T Freije | Physical Therapist | 3830 Shore Dr, Ste A, Indianapolis, IN 46254-5657 | 2009-06-17 |
| 1467660514 | William Martin Beck II | Physical Therapist | 3830 Shore Dr, Suite A, Indianapolis, IN 46254-5657 | 2007-05-21 |
| 1255395356 | Megan O'connor | Physical Therapist | 3830 Shore Dr, Suite A, Indianapolis, IN 46254-5657 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of 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 |
|---|---|---|---|---|
| 1699705251 | Aslam R Siddiqui | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-07-03 |
| 1720021694 | Steven Westphal | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-14 |
| 1750324737 | Donald S Schauwecker | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-14 |
| 1699718098 | Gonzalo T Chua | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-14 |
| 1760425284 | Mark C Estrada | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-13 |
| 1275575375 | James Fletcher | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073912440 | Larry L Heck | Radiology | 47 Hickory Ridge Cir, Cicero, IN 46034-9737 | 2014-08-21 |
| 1568417442 | Paul E Gandy | Radiology | 830 N Theatre Drive, Marion, IN 46952-1700 | 2006-05-23 |
| 1467776385 | Lil Family Inc | Radiology | 2401 W University Ave, Muncie, IN 47303-3428 | 2010-03-22 |
| 1750547493 | Rajiv Kumar | Radiology | 8701 Broadway, Merrillville, IN 46410-7035 | 2008-08-01 |
| 1992872634 | Suk S Lee M.d. Inc | Radiology | 1400 E 9th St, Rochester, IN 46975-8931 | 2006-11-29 |
| 1881779700 | Jonathan Wade Weiss | Radiology | 620 W Edison Rd, Suite 110, Mishawaka, IN 46545-2784 | 2006-10-26 |
| 1447286695 | Nufinity - Woodlawn, LLC | Radiology | 1400 E 9th St, Rochester, IN 46975-8931 | 2006-06-22 |
| 1427098979 | James M Forde | Radiology | 825 E Lincolnway, Valparaiso, IN 46383-5803 | 2006-06-06 |
| 1619924461 | Maximo V. Bleza | Radiology | 825 E Lincolnway, Valparaiso, IN 46383-5803 | 2006-05-27 |
| 1417909896 | Unity Healthcare, LLC | Radiology | 1411 S Creasy Ln, Suite 130, Lafayette, IN 47905-7433 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
Please comment or provide details below to improve the information on INDIANAPOLIS REGIONAL PET SCAN LLC.
| 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.