ADVANCED DIAGNOSTIC IMAGING, PLLC (NPI# 1962443861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962443861 |
| Entity Type | Organization |
| Organization Name | ADVANCED DIAGNOSTIC IMAGING, PLLC |
| Practice Address |
5 Alumni Drive Exeter NH 03833-2128 |
| Mailing Address |
Po Box 1849 Lewiston ME 04241-1849 |
| Practice Telephone | 6035806608 |
| Practice Fax Number | 6035806707 |
| Mailing Telephone | 2077842554 |
| Mailing Fax Number | 2077775363 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2009-12-15 |
| Authorized Official Name | MICHAEL E. MARRERO (PRESIDENT) |
| Authorized Official Telephone | 6035806608 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30212114 | 05 | |
| AETNA | 7083377 | 01 | |
| MA | 9724711 | 05 | |
| ME | 157140000 | 05 | |
| OWCP | 346824200 | 01 | |
| RAILROAD | CK3869 | 01 | |
| TUFTS | 362045 | 01 |
| Street Address |
5 ALUMNI DRIVE |
| City | EXETER |
| State | NH |
| Zip Code | 03833-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437158433 | Exeter Hospital Inc | General Acute Care Hospital | 5 Alumni Drive, Exeter, NH 03833-4831 | 2005-07-20 |
| 1720292931 | Exeter Hospital | Clinic/Center | 5 Alumni Drive, Exeter, NH 03833 | 2007-05-09 |
| 1861415457 | Jonathan P Vaccaro | Radiology | 5 Alumni Drive, Exeter, NH 03833-2128 | 2006-07-25 |
| 1316969637 | Alexander Raslavicus | Radiology | 5 Alumni Drive, Exeter, NH 03833-2128 | 2006-07-24 |
| 1588604235 | Keith Weston | Anesthesiology | 5 Alumni Drive, Anesthesia Dept., Exeter, NH 03833-2128 | 2006-06-08 |
| 1013957778 | Young S Park | Anesthesiology | 5 Alumni Drive, Anesthesia Department, Exeter, NH 03833-2128 | 2006-06-08 |
| 1346288669 | Michael E Marrero | Radiology | 5 Alumni Drive, Exeter, NH 03833-2128 | 2006-06-02 |
| 1023065273 | Philip J Voss | Emergency Medicine | 5 Alumni Drive, Exeter Hospital, Exeter, NH 03833 | 2006-05-30 |
| 1568435626 | Michael D Murphy Jr. | Radiology | 5 Alumni Drive, Exeter, NH 03833-2128 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568848836 | Leanora Legrand | Social Worker | 10 Hilliard Road, Kensington, NH 03833 | 2015-08-10 |
| 1861890691 | Jennifer Thomas | Nurse Practitioner | 5 Alumni Drv., Exeter Hospital, Exeter, NH 03833 | 2014-12-10 |
| 1578962791 | Through The Trees: Communication Center for Children and Adults | Speech-Language Pathologist | 175 Drinkwater Rd, Kensington, NH 03833 | 2014-08-14 |
| 1225318579 | Bernadette M Blake | Social Worker | 23 Oak Street, Exeter, NH 03833 | 2011-08-18 |
| 1710295746 | Carl Matthew Boscketti | Dentist | 193 High St., Exeter, NH 03833 | 2010-09-24 |
| 1750515870 | Nicole M. Dawson | Chiropractor | 29 Shannon Way, Brentwood, NH 03833 | 2009-05-04 |
| 1841411535 | Diana Lyell I | Specialist | 19 Hampton Road, Exeter, NH 03833 | 2007-05-01 |
| 1922131630 | Ellen Bennett | Physician Assistant | 21 Hampton Rd Bldg 3 Fl 1, Exeter, NH 03833 | 2007-03-13 |
| 1013072008 | Scott Thomas Bleakley | Social Worker | 163 Water Street, Exeter, NH 03833 | 2006-12-27 |
| 1184785289 | J Bruce Bartolini | Internal Medicine | 21 Hampton Rd Bldg. 3, 2nd Fl, Exeter, NH 03833 | 2006-12-12 |
| Find all providers in zip 03833 | ||||
| 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 |
|---|---|---|---|---|
| 1013371525 | Sequoia Radiology Group, Inc. | Radiology | 365 High Sierra Dr, Exeter, CA 93221-9505 | 2016-04-11 |
| 1124163951 | Daniel M. Jones | Radiology | 237 Portola Ave, Exeter, CA 93221-1229 | 2007-02-20 |
| 1013017581 | Erik Michael Stien | Radiology | 5 Alumni Dr, Exeter, NH 03833 | 2006-09-25 |
| 1861415457 | Jonathan P Vaccaro | Radiology | 5 Alumni Drive, Exeter, NH 03833-2128 | 2006-07-25 |
| 1316969637 | Alexander Raslavicus | Radiology | 5 Alumni Drive, Exeter, NH 03833-2128 | 2006-07-24 |
| 1952320350 | Ellen D Johnson | Radiology | 5 Alumni Dr, Exeter, NH 03833-2128 | 2006-07-18 |
| 1346288669 | Michael E Marrero | Radiology | 5 Alumni Drive, Exeter, NH 03833-2128 | 2006-06-02 |
| 1568435626 | Michael D Murphy Jr. | Radiology | 5 Alumni Drive, Exeter, NH 03833-2128 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366813859 | Amjad Massoud | Radiology | 18 Sheafe St, Portsmouth, NH 03801-3818 | 2015-10-09 |
| 1437392131 | Elizabeth Fleming Clemente | Radiology | 2 1/2 Beacon St Ste 199, Concord, NH 03301-4447 | 2009-04-09 |
| 1154585867 | Brett Schneider | Radiology | 87 Spring St Ste 101, Laconia, NH 03246-3135 | 2008-07-11 |
| 1508026626 | Banu Oner | Radiology | 3 Kendall Pond Rd, Derry, NH 03038-7201 | 2008-06-12 |
| 1083805519 | Carl Richard Makarewicz | Radiology | 15 Mill Rd, Derry, NH 03038-4617 | 2007-08-08 |
| 1437364965 | New Hampshire Open Mri LLC | Radiology | 8 Commerce Ave, Suite 4, West Lebanon, NH 03784-1669 | 2007-05-10 |
| 1891825329 | Boris P Bushueff | Radiology | 2354 George Hill Road, West Springfield, NH 03284 | 2007-03-06 |
| 1063548105 | John A Howell | Radiology | 38 Fairway Lane, Whitefield, NH 03598 | 2007-02-25 |
| 1659427490 | White Mountain Radiology, P.C. | Radiology | Littleton Regional Hospital, 600 St. Johnsbury Road, Littleton, NH 03561 | 2007-01-26 |
| 1407933930 | Karen Collette Jensen | Radiology | 14 Adams Road, Jackson, NH 03846 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ADVANCED DIAGNOSTIC IMAGING, PLLC.
| 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.