Courtnay Willcox Bloomer (NPI# 1093764565, PAC ID# 6002965027) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1093764565 |
| PAC ID by PECOS | 6002965027 |
| Professional Enrollment ID | I20140729001165 |
| Full Name | Courtnay Willcox Bloomer |
| Organization Legal Name | DIAGNOSTIC RADIOLOGY AND IMAGING LLC |
| Address |
315 W Wendover Ave Greensboro NC 27408-8401 |
| Phone Number | 3364335000 |
| Gender | F |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4183517097 |
| Number of Group Practice Members | 67 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340091 | MOSES H. CONE MEMORIAL HOSPITAL, THE |
| 340070 | ALAMANCE REGIONAL MEDICAL CENTER |
| 340004 | HIGH POINT REGIONAL HEALTH SYSTEM |
| 340060 | MOREHEAD MEMORIAL HOSPITAL |
| 340123 | RANDOLPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1331 N Elm St, Suite 200, Greensboro, NC 27401-6304 | 3362744285 | GREENSBORO RADIOLOGY PA |
| 315 W Wendover Ave, Greensboro, NC 27408-8401 | 3364335000 | DIAGNOSTIC RADIOLOGY AND IMAGING LLC |
| 1814 Westchester Dr, Suite 100, High Point, NC 27262-7369 | 3368022175 | CORNERSTONE HEALTH CARE LLC |
| 1357 Kapiolani Blvd, Suite 830, Honolulu, HI 96814-4534 | 6142217773 | GREENSBORO RADIOLOGY PA |
| 1585 Kapiolani Blvd, Suite 1720, Honolulu, HI 96814-4522 | 3362749617 | DIAGNOSTIC RADIOLOGY AND IMAGING LLC |
| 1585 Kapiolani Blvd, Suite 1720, Honolulu, HI 96814-4522 | 3362749617 | GREENSBORO RADIOLOGY PA |
| Organization Legal Name | DIAGNOSTIC RADIOLOGY AND IMAGING LLC |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Kwon | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 1585 Kapiolani Blvd, Suite 1720, Honolulu, HI 96814-4522 |
| James Judd Green | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 315 W Wendover Ave, Greensboro, NC 27408-8401 |
| Melinda A Blietz | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 301 E Wendover Ave, Suite 100, Greensboro, NC 27401-1230 |
| Paul D Barry | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 301 E Wendover Ave, Suite 100, Greensboro, NC 27401-1230 |
| John Allen Stahl | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 301 E Wendover Ave, Suite 100, Greensboro, NC 27401-1230 |
| Elizabeth D Brown | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 301 E Wendover Ave, Suite 100, Greensboro, NC 27401-1230 |
| John Alexander Watts V | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 301 E Wendover Ave, Suite 100, Greensboro, NC 27401-1230 |
| Susan J Turner | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 315 W Wendover Ave, Greensboro, NC 27408-8401 |
| Kevin Otey Herman | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 315 W Wendover Ave, Greensboro, NC 27408-8401 |
| Pamela A Turpin | Physician Assistant | Diagnostic Radiology and Imaging LLC | 301 E Wendover Ave, Suite 100, Greensboro, NC 27401-1230 |
| Street Address |
315 W WENDOVER AVE |
| City | GREENSBORO |
| State | NC |
| Zip | 27408-8401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Judd Green | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 315 W Wendover Ave, Greensboro, NC 27408-8401 |
| Susan J Turner | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 315 W Wendover Ave, Greensboro, NC 27408-8401 |
| Kevin Otey Herman | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 315 W Wendover Ave, Greensboro, NC 27408-8401 |
| Serena M Chacko | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 315 W Wendover Ave, Greensboro, NC 27408-8401 |
| David Alan Jordan | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 315 W Wendover Ave, Greensboro, NC 27408-8401 |
| Dobrinka V Dimitrova-koutleva | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 315 W Wendover Ave, Greensboro, NC 27408-8401 |
| Jaime Stephan Wagner | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 315 W Wendover Ave, Greensboro, NC 27408-8401 |
| Heath K Mccullough | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 315 W Wendover Ave, Greensboro, NC 27408-8401 |
| Thomas L D Alessio | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 315 W Wendover Ave, Greensboro, NC 27408-8401 |
| Jonathan Michael Watts | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 315 W Wendover Ave, Greensboro, NC 27408-8401 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Richardson | Chiropractic | 2828 Battleground Ave, Suite C, Greensboro, NC 27408-1901 | |
| Jeffrey W Lissenden | Chiropractic | 3132 Battleground Ave A, Greensboro, NC 27408-1915 | |
| Jon B Scott | Optometry | 3132 Battleground Ave B, Greensboro, NC 27408-1915 | |
| Todd Gene Owsley | Maxillofacial Surgery | 2516 Oakcrest Ave, Suite B, Greensboro, NC 27408-1933 | |
| Charles Byrnes | Optometry | Oman Optometric Eye Care, Pa | 1607 Westover Ter, Greensboro, NC 27408-1996 |
| Heather Hanford Oman | Optometry | Oman Optometric Eye Care, Pa | 1607 Westover Ter, Greensboro, NC 27408-1996 |
| Maria S Johnson | Optometry | Oman Optometric Eye Care, Pa | 1607 Westover Ter, Greensboro, NC 27408-1996 |
| Laura Cockrell Skelton | Optometry | Oman Optometric Eye Care, Pa | 1607 Westover Ter, Greensboro, NC 27408-1996 |
| Thomas A Hedding | Psychologist, Clinical | 2709 Pinedale Rd, Suite B, Greensboro, NC 27408-2018 | |
| Merrianne Leff | Clinical Social Worker | 2709 Pinedale Rd B, Greensboro, NC 27408-2018 | |
| Find all physicians in zip 27408 | |||
| City | GREENSBORO |
| Zip Code | 27408 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GREENSBORO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Courtnay Willcox Bloomer.
| 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.