Julie K Shaffrey (NPI# 1639154982, PAC ID# 1850327370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1639154982 |
| PAC ID by PECOS | 1850327370 |
| Professional Enrollment ID | I20070123000304 |
| Full Name | Julie K Shaffrey |
| Organization Legal Name | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| Address |
6 Old Manor Ct Reisterstown MD 21136-5664 |
| Phone Number | 9858674050 |
| Gender | F |
| Credential | MD |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1951552900 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390065 | GETTYSBURG HOSPITAL |
| 390123 | POTTSTOWN HOSPITAL |
| 501303 | WILLAPA HARBOR HOSPITAL |
| 250099 | GREENWOOD LEFLORE HOSPITAL |
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11526 Stardust Ln, Ellicott City, MD 21042-1429 | 9525951190 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 4420 Prancing Deer Dr, Ellicott City, MD 21043-6785 | 4104466979 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 6 Old Manor Ct, Reisterstown, MD 21136-5664 | 9858674050 | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| 6 Old Manor Ct, Reisterstown, MD 21136-5664 | 4436762568 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 6 Old Manor Ct, Reisterstown, MD 21136-5664 | 6103277282 | MONTGOMERY RADIOLOGY ASSOCIATES PC |
| 6 Old Manor Ct, Reisterstown, MD 21136-5664 | 4103570404 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 6 Old Manor Ct, Reisterstown, MD 21136-5664 | 9525951100 | FRED SMELTZER MD AND ASSOCIATES INC |
| Highway 86 At Topawa Rd, Sells Indian Hospital, Sells, AZ 85634 | 5203837285 | TON SELLS HOSPITAL |
| 7900 S J Stock Rd, San Xavier Health, Tucson, AZ 85746-7012 | 5202952546 | TON SAN XAVIER HEALTH CENTER |
| Organization Legal Name | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Atkinson | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 5827 Cedar Hill Way, San Antonio, TX 78253-5530 |
| Kenton E Kagy | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 722 Catalina Aisle St, Las Vegas, NV 89138-4608 |
| Kathryn Elizabeth Pflug | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 95 Judge Tanner Blvd, Covington, LA 70433-7500 |
| Ketan C Davae | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 156 Dedham St, Canton, MA 02021-1509 |
| Carla V Ramas | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 1417 Ne 27th St, Fort Lauderdale, FL 33334-4344 |
| Jed A Santa Maria | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 452 Devonshire Dr, Brea, CA 92821-6014 |
| Alison M Robinette | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 9290 E Thompson Peak Pkwy, Unit 240, Scottsdale, AZ 85255-4512 |
| Dennis Patrick Lindfors | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 822 24th Ave Nw, Gig Harbor, WA 98335-7850 |
| Danielle M Weems | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 3005 Sunset Hills Blvd S, Edwardsville, IL 62025-3734 |
| Alan J Kopp | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 22 E 1st St, Suite 6, New York, NY 10003-9384 |
| Street Address |
6 OLD MANOR CT |
| City | REISTERSTOWN |
| State | MD |
| Zip | 21136-5664 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin G. Bache | Chiropractic | 46 Westminster Rd, Reisterstown, MD 21136-1025 | |
| Jon D Koman | Orthopedic Surgery | Koman Orthopedics and Sports Medicine LLC | 116 Westminister Pike, Suite 100, Reisterstown, MD 21136-1027 |
| Tatyana Reznikov | Physical Medicine and Rehabilitation | 116 Westminster Pike, Suite 106, Reisterstown, MD 21136-1027 | |
| David Alvarado | Physician Assistant | Koman Orthopedics and Sports Medicine LLC | 116 Westminister Pike, Suite 100, Reisterstown, MD 21136-1027 |
| Paul Moroney | Physical Therapy | Koman Orthopedics and Sports Medicine LLC | 116 Westminister Pike, Suite 100, Reisterstown, MD 21136-1027 |
| Michael S Goldman | Diagnostic Radiology | Advanced Radiology Pa | 113 Westminster Pike, Suite 103, Reisterstown, MD 21136-1050 |
| Rebecca L Roller | Diagnostic Radiology | Advanced Radiology Pa | 113 Westminster Pike, Suite 103, Reisterstown, MD 21136-1050 |
| Frederic K Yeganeh | Diagnostic Radiology | Advanced Radiology Pa | 113 Westminster Pike, Suite 103, Reisterstown, MD 21136-1050 |
| Jennifer C Correa-elkins | Clinical Social Worker | Chesapeake Behavioral Health Center, LLC | 217 Main St B, Reisterstown, MD 21136-1213 |
| Elsa Victoria Correa-deleonardo | Nurse Practitioner | Chesapeake Behavioral Health Center, LLC | 217 Main St B, Reisterstown, MD 21136-1213 |
| Find all physicians in zip 21136 | |||
| City | REISTERSTOWN |
| Zip Code | 21136 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | REISTERSTOWN + 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.