Susan Keon Dewyngaert (NPI# 1235162421, PAC ID# 6204725039) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1235162421 |
| PAC ID by PECOS | 6204725039 |
| Professional Enrollment ID | I20040311000443 |
| Full Name | Susan Keon Dewyngaert |
| Organization Legal Name | JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLC |
| Address |
850 Walnut St Jefferson Outpatient Imaging Philadelphia PA 19107-5109 |
| Phone Number | 2155034900 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7315845708 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390174 | THOMAS JEFFERSON UNIVERSITY HOSPITAL |
| 390115 | ARIA HEALTH |
| 390111 | HOSPITAL OF UNIV OF PENNSYLVANIA |
| Address | Phone | Organization |
|---|---|---|
| 1 W Germantown Pike, East Norriton, PA 19401-1513 | 2675393750 | JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLC |
| 111 S 11th St, 3rd Flr Suite 3390, Philadelphia, PA 19107-5098 | 8008581662 | JEFFERSON UNIVERSITY PHYSICIANS |
| 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 | 2155034900 | JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLC |
| Organization Legal Name | JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vishal Desai | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 999 Route 73 N 101, Jefferson Outpatient Imaging, Marlton, NJ 08053-1227 |
| Annina N. Wilkes | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Ajit Karambelkar | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Niti Tank | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 999 Route 73 N 101, Jefferson Outpatient Imaging, Marlton, NJ 08053-1227 |
| Lydia Liao | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 999 Route 73 N 101, Jefferson Outpatient Imaging, Marlton, NJ 08053-1227 |
| Flavius Guglielmo | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 999 Route 73 N 101, Jefferson Outpatient Imaging, Marlton, NJ 08053-1227 |
| Andrej Lyshchik | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Sandeep P Deshmukh | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| David Karasick | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Sachin Dheer | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Street Address |
850 WALNUT ST JEFFERSON OUTPATIENT IMAGING |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19107-5109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annina N. Wilkes | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Ajit Karambelkar | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Andrej Lyshchik | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Sandeep P Deshmukh | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| David Karasick | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Sachin Dheer | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Terri Tuckman | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Levon Nazarian | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Sung M Kim | Nuclear Medicine | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Pranshu Sharma | Diagnostic Radiology | Jefferson University Radiology Associates LLC | 850 Walnut St, Jefferson Outpatient Imaging, Philadelphia, PA 19107-5109 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rene Rubin | Hematology | Rittenhouse Hematology and Oncology | 207 N Broad St, 6th Floor, Philadelphia, PA 19107-1500 |
| Jean M Koka | Hematology/oncology | Rittenhouse Hematology and Oncology | 207 N Broad St, 6th Floor, Philadelphia, PA 19107-1500 |
| Arnold T Berman | Orthopedic Surgery | Berman Orthopedics Institute | 221 N Broad St, Philadelphia, PA 19107-1502 |
| Aisha N Qazi | Neurology | Drexel University | 219 N Broad St 7th Floor, Drexel Neurology, Philadelphia, PA 19107-1506 |
| Lissa B Levin Mizrahi | Nephrology | Drexel University | 219 N Broad St 9th Floor, Drexel Nephrology, Philadelphia, PA 19107-1506 |
| Andres Castellanos | General Surgery | Drexel University | 219 N Broad St 8th Floor, Drexel Surgery, Philadelphia, PA 19107-1506 |
| Matthew William Lawrence | Vascular Surgery | Drexel University | 219 N Broad St, Suite 8, Philadelphia, PA 19107-1506 |
| John Charles Madara | Pulmonary Disease | Drexel University | 219 N Broad St 9th Floor, Drexel Pulmonary, Philadelphia, PA 19107-1506 |
| Owen C Montgomery | Obstetrics/gynecology | Drexel University | 219 N Broad St 9th Floor, Drexel Nutritional Counseling, Philadelphia, PA 19107-1506 |
| Gediminas Gliebus | Neurology | Drexel University | 219 N Broad St 7th Floor, Drexel Neurology, Philadelphia, PA 19107-1506 |
| Find all physicians in zip 19107 | |||
| City | PHILADELPHIA |
| Zip Code | 19107 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PHILADELPHIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Susan Keon Dewyngaert.
| 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.