Thomas A Watson (NPI# 1972714178, PAC ID# 3577697614) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1972714178 |
| PAC ID by PECOS | 3577697614 |
| Professional Enrollment ID | I20100811000885 |
| Full Name | Thomas A Watson |
| Organization Legal Name | DIAGNOSTIC IMAGING ASSOCIATES LTD |
| Address |
19 Clarkson Rd Ellisville MO 63011-2215 |
| Phone Number | 6367338989 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9638064942 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 232 S Woods Mill Rd, St Lukes Hosp Radiology Dept, Chesterfield, MO 63017-3417 | 3144341500 | DIAGNOSTIC IMAGING ASSOCIATES LTD |
| 11737 Olive Blvd, Creve Coeur, MO 63141-7003 | 3142916736 | DIAGNOSTIC IMAGING ASSOCIATES LTD |
| 19 Clarkson Rd, Ellisville, MO 63011-2215 | 6367338989 | DIAGNOSTIC IMAGING ASSOCIATES LTD |
| 5551 Winghaven Blvd, Suite 60, Ofallon, MO 63368-3618 | 6366254434 | DIAGNOSTIC IMAGING ASSOCIATES LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 64% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 5% |
| Organization Legal Name | DIAGNOSTIC IMAGING ASSOCIATES LTD |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriel P Desimon | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 6 Mcbride Son Corp Ctr Dr, Suite 101, Chesterfield, MO 63005 |
| Gregory A Jamroz | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Charles F Garvin | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Jennifer L Demertzis | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 232 S Woods Mill Rd, St Lukes Hosp Radiology Dept, Chesterfield, MO 63017-3417 |
| Robert Yale Kanterman | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Robert W Ryerson | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Catherine M Appleton | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 232 S Woods Mill Rd, St Lukes Hosp Radiology Dept, Chesterfield, MO 63017-3417 |
| Carl A Mazzola | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Kishan Yalavarthi | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Inta S Berzins | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Street Address |
19 CLARKSON RD |
| City | ELLISVILLE |
| State | MO |
| Zip | 63011-2215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory A Jamroz | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Charles F Garvin | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Robert Yale Kanterman | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Robert W Ryerson | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Carl A Mazzola | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Kishan Yalavarthi | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Inta S Berzins | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Alexandra F Georges | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 19 Clarkson Rd, Ellisville, MO 63011-2215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Jill Ellsworth | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Phillip D Cornish | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Meredith B Stuart | Podiatry | Neil S Snyder Dpm PC | 16087 Manchester Rd, Ellisville, MO 63011-2103 |
| Leslie Reid | Chiropractic | Ellisville Chiropractic, Injury and Pain Clinic,llc | 16075 Manchester Rd, Ellisville, MO 63011-2103 |
| Neil S Snyder | Podiatry | Neil S Snyder Dpm PC | 16087 Manchester Rd, Ellisville, MO 63011-2103 |
| Leonard R Suiter | Chiropractic | 152 Clarkson Executive Park, Suiter Chiropractic Center LLC, Ellisville, MO 63011-2114 | |
| Audrey M Heath | Nurse Practitioner | Mercy East Ambulatory Services LLC | 1326 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 |
| Jennifer Nicole Rispoli | Physical Therapy | Babar Enterprises LLC | 1346 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 |
| Paul D Hallemann | Physical Therapy | Babar Enterprises LLC | 1346 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 |
| Find all physicians in zip 63011 | |||
| City | ELLISVILLE |
| Zip Code | 63011 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ELLISVILLE + 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.