Eric J Mellencamp
FOUNDATION RADIOLOGY GROUP PC


Address: 201 Reeceville Rd, Coatesville, PA 19320-1542
Phone: 6103838245

Eric J Mellencamp (NPI# 1326048380, PAC ID# 9335226950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1326048380
PAC ID by PECOS 9335226950
Professional Enrollment ID I20080408000029
Full Name Eric J Mellencamp
Organization Legal Name FOUNDATION RADIOLOGY GROUP PC
Address 201 Reeceville Rd
Coatesville
PA 19320-1542
Phone Number 6103838245
Gender M
Medical School MEDICAL COLLEGE OF WISCONSIN
Graduation Year 1976
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialties INTERVENTIONAL RADIOLOGY
Group Practice PAC ID 3779683537
Number of Group Practice Members 94
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230041 MCLAREN BAY REGION
390039 SOMERSET HOSPITAL
390076 BRANDYWINE HOSPITAL
230024 SINAI-GRACE HOSPITAL
230104 HARPER UNIVERSITY HOSPITAL

Other Locations

Address Phone Organization
1900 Columbus Ave, Bay City, MI 48708-6831 8004372672 FANDS RADIOLOGY PC
201 Reeceville Rd, Coatesville, PA 19320-1542 6103838245 FOUNDATION RADIOLOGY GROUP PC
1 Wiliam Carls Dr, Commerce Township, MI 48382-2201 2482275500 RADADVANTAGE A PROFESSIONAL CORPORATION
3990 John R St, Detroit, MI 48201-2018 3137455111 RADADVANTAGE A PROFESSIONAL CORPORATION
4201 Saint Antoine St, Detroit, MI 48201-2153 3137453000 RADADVANTAGE A PROFESSIONAL CORPORATION
6071 W Outer Dr, Detroit, MI 48235-2624 3139663300 RADADVANTAGE A PROFESSIONAL CORPORATION

Organization Information

Organization Legal Name FOUNDATION RADIOLOGY GROUP PC
Physicians 84

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Terry P Prince Diagnostic Radiology Foundation Radiology Group PC 4932 Watersong Way, Fort Pierce, FL 34949-9209
Joseph M Bender Diagnostic Radiology Foundation Radiology Group PC 121 E Robindale Rd, Las Vegas, NV 89123-1116
Ranjan Stokes Diagnostic Radiology Foundation Radiology Group PC 2435 Garden Way, Hermitage, PA 16148-5211
Michael D Reiser Diagnostic Radiology Foundation Radiology Group PC 13603 Stonebarn Ln, North Potomac, MD 20878-3912
Todd M Blodgett Diagnostic Radiology Foundation Radiology Group PC 2300 Southampton Dr, Pittsburgh, PA 15241-3300
Palam Annamalai Interventional Radiology Foundation Radiology Group PC 3205 Salisbury Ct, Friendswood, TX 77546-2532
Latika Sinha Diagnostic Radiology Foundation Radiology Group PC 565 Coal Valley Rd, Clairton, PA 15025-3703
James K Cooper Diagnostic Radiology Foundation Radiology Group PC 1705 Renaissance Blvd, Suite 150, Edmond, OK 73013-3054

Office Location

Street Address 201 REECEVILLE RD
City COATESVILLE
State PA
Zip 19320-1542

Physicians in the same location

Name Specialty Organization Address
Mary E Pikulski Family Medicine Tri-county Hospitalists LLC 201 Reeceville Rd, Coatesville, PA 19320-1542
Sharon Jill Fleischer Family Medicine Coatesville Clinic Company LLC 201 Reeceville Rd, Coatesville, PA 19320-1542
David C Wright Emergency Medicine Emergency Physician Associates of Pennsylvania PC 201 Reeceville Rd, Coatesville, PA 19320-1542
Aref Sobhani Mahdabi Internal Medicine Tri-county Hospitalists LLC 201 Reeceville Rd, Coatesville, PA 19320-1542
Steven J Kritz Certified Registered Nurse Anesthetist (crna) North American Partners In Anesthesia, Pennsylvania, LLC 201 Reeceville Rd, Coatesville, PA 19320-1542
Joanne H Kaster Nurse Practitioner Atlantic Physician Services of Maryland, PC 201 Reeceville Rd, Coatesville, PA 19320-1542
Michael Delacruz Pathology Allied Diagnostic Pathology Consultants Pa 201 Reeceville Rd, Coatesville, PA 19320-1542
Jennifer H Keah Family Medicine Coatesville Clinic Company LLC 201 Reeceville Rd, Coatesville, PA 19320-1542
Gerald F O'malley Emergency Medicine Emergency Physician Associates of Pennsylvania PC 201 Reeceville Rd, Coatesville, PA 19320-1542
Ankur Chaudhury Internal Medicine Tri-county Hospitalists LLC 201 Reeceville Rd, Coatesville, PA 19320-1542
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Physicians in the same zip code

Name Specialty Organization Address
John Vilcheck Jr. Optometry 644 E Reeceville Rd, Coatesville, PA 19320-1232
Brian K Kelly Neurology Coatesville Clinic Company LLC 213 Reeceville Rd, Suite 22a, Coatesville, PA 19320-1528
Andrew Freese Neurosurgery 213 Reeceville Rd, Suite 33, Coatesville, PA 19320-1528
Jose Pulido Urology Centers for Advanced Urology LLC 213 Reeceville Rd, Coatesville, PA 19320-1528
Ilene Y Wong Urology Centers for Advanced Urology LLC 213 Reeceville Rd, Coatesville, PA 19320-1528
William G. Merriam Urology Centers for Advanced Urology LLC 213 Reeceville Rd, Coatesville, PA 19320-1528
Robert O Satriale Pulmonary Disease Chester County Pulmonary and Sleep Specialists 213 Reeceville Rd, Suite 36, Coatesville, PA 19320-1530
Robert W Hindman Pulmonary Disease Chester County Pulmonary and Sleep Specialists 213 Reeceville Rd, Suite 36, Coatesville, PA 19320-1530
Martha T Harpham Nurse Practitioner The Lung Consultants, Ltd 213 Reeceville Rd, Suite 36, Coatesville, PA 19320-1530
Andrew V Chuma Otolaryngology Pinnacle Ent Alliance LLC 213 Reeceville Rd, Suite 10, Coatesville, PA 19320-1532
Find all physicians in zip 19320

Competitor

Search similar physicians

City COATESVILLE
Zip Code 19320
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty COATESVILLE + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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