Jonathan W Bold (NPI# 1053390021, PAC ID# 0042100679) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1053390021 |
| PAC ID by PECOS | 0042100679 |
| Professional Enrollment ID | I20040317001401 |
| Full Name | Jonathan W Bold |
| Organization Legal Name | RADIOLOGY ALLIANCE PC |
| Address |
3722 Las Vegas Blvd S Unit 3001 Las Vegas NV 89158-4333 |
| Phone Number | 855687723711115 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1850280470 |
| Number of Group Practice Members | 143 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| 440035 | TENNOVA HEALTHCARE-CLARKSVILLE |
| 330401 | ST CATHERINE OF SIENA HOSPITAL |
| 450046 | CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI |
| 330246 | ST CHARLES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2814 Soft Horizon Way, Las Vegas, NV 89135-1736 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 2995 American River Ln, Las Vegas, NV 89135-1713 | 5702149907 | GEISINGER CLINIC |
| 2995 American River Ln, Las Vegas, NV 89135-1713 | 7022670748 | SUTTER VALLEY MEDICAL FOUNDATION |
| 3722 Las Vegas Blvd S, Unit 3001, Las Vegas, NV 89158-4333 | 855687723711115 | RADIOLOGY ALLIANCE PC |
| 43 Drifting Shadow Way, Las Vegas, NV 89135-7879 | 9525951100 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 43 Drifting Shadow Way, Las Vegas, NV 89135-7879 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC | |
| 43 Drifting Shadow Way, Las Vegas, NV 89135-7879 | 7023795234 | OHIO IMAGING ASSOCIATES INC |
| 67 Princeville Ln, Las Vegas, NV 89113-1369 | 7033279729 | OHIO IMAGING ASSOCIATES INC |
| Organization Legal Name | RADIOLOGY ALLIANCE PC |
| Physicians | 131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan H Sutcliffe | Diagnostic Radiology | Radiology Alliance PC | 7 Fancy Hl, Madbury, NH 03823-7505 |
| Jason Glen Meigs | Diagnostic Radiology | Radiology Alliance PC | 2821 N 50, Lehi, UT 84043-4091 |
| Daniel J Israel | Diagnostic Radiology | Radiology Alliance PC | 2105 Lancaster Rd, Birmingham, AL 35209-4207 |
| Abraham A Harari | Diagnostic Radiology | Radiology Alliance PC | 1567 S Roslyn St, Denver, CO 80231-2614 |
| Keiron T Kennedy | Diagnostic Radiology | Radiology Alliance PC | 6470 Pocahontas Ln, Hayes, VA 23072-3221 |
| Nausheen Naveed | Diagnostic Radiology | Radiology Alliance PC | 802 Ridgestone Ct, Peachtree City, GA 30269-6629 |
| Laura M Wike | Diagnostic Radiology | Radiology Alliance PC | 2517 N Cisco Ln, Boise, ID 83702-5502 |
| Jerome B Klein | Diagnostic Radiology | Radiology Alliance PC | 2121 E La Vieve Ln, Tempe, AZ 85284-3533 |
| Shwan Kim | Diagnostic Radiology | Radiology Alliance PC | 865 Deer Willow Ct, Thousand Oaks, CA 91320-5508 |
| Scott J Sullivan | Diagnostic Radiology | Radiology Alliance PC | 4 Dewart Rd, Greenwich, CT 06830-3417 |
| Street Address |
3722 LAS VEGAS BLVD S UNIT 3001 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89158-4333 |
| City | LAS VEGAS |
| Zip Code | 89158 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LAS VEGAS + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.