| Michael Im, MD | |
|
2624 Dawson Rd, Albany, GA 31707-1609 | |
| (229) 888-1624 | |
| Not Available |
| Full Name | Michael Im |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 2624 Dawson Rd, Albany, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710154794 | NPI | - | NPPES |
| A119769 | Other | CA | STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 109415 (Georgia) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | A119769 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pro Radiology Llc | 1052696432 | 112 |
| Synergy Radiology Llc | 2668727744 | 73 |
| South Jersey Radiology Associates P A | 9133115587 | 202 |
| Synergy Radiology Llc | 2668727744 | 73 |
| Simonmed Imaging Florida Llc | 6608036108 | 302 |
| Spectrum Imaging Sc | 3678892247 | 41 |
| Health Diagnostics Of California A Professional Corporation | 4284621525 | 176 |
| Pro Radiology Llc | 1052696432 | 112 |
| Smi Imaging Llc | 3476696220 | 380 |
| Entity Name | Pronet Imaging Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528099488 PECOS PAC ID: 5890722755 Enrollment ID: O20050721000831 |
| Entity Name | San Fernando Valley Interventional Radiology and Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942350889 PECOS PAC ID: 3476651431 Enrollment ID: O20070614000478 |
| Entity Name | Simonmed Imaging Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20160512001501 |
| Entity Name | Smi Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180824001718 |
| Entity Name | Health Diagnostics of California a Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20180825000005 |
| Entity Name | Howard Simon MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659930998 PECOS PAC ID: 7214369966 Enrollment ID: O20210204000113 |
| Entity Name | Spectrum Imaging SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821482621 PECOS PAC ID: 3678892247 Enrollment ID: O20210924002005 |
| Entity Name | Synergy Radiology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588229918 PECOS PAC ID: 2668727744 Enrollment ID: O20240315001538 |
| Entity Name | Pro Radiology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942733308 PECOS PAC ID: 1052696432 Enrollment ID: O20250409001350 |
| Entity Name | M & B Imaging, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932624723 PECOS PAC ID: 1557623782 Enrollment ID: O20250508002724 |
| Entity Name | South Jersey Radiology Associates P a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477551653 PECOS PAC ID: 9133115587 Enrollment ID: O20250606000691 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Im, MD 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 Ph: Not Available | Michael Im, MD 2624 Dawson Rd, Albany, GA 31707-1609 Ph: (229) 888-1624 |
Dr. Allison Lea Hays, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 706-653-1088 Fax: 706-653-1162 |
Suresh K Lakhanpal, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 706-653-1088 Fax: 706-653-1162 |
Michael Walter Ramalia Jr., DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2624 Dawson Rd, Albany, GA 31707 Phone: 229-888-1624 |
Edwin J Fortenbery, MD Radiology Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 706-653-1088 Fax: 706-653-1162 |
Frank Maynard Thames Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2219 Golf Course Dr, Albany, GA 31721 Phone: 229-435-2964 |
Robert Lewis Stickle, MD Radiology Medicare: Medicare Enrolled Practice Location: 2624 Dawson Rd, Albany, GA 31707 Phone: 229-888-1624 |
Dr. Nicholas Mark Gutierrez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2624 Dawson Rd, Albany, GA 31707 Phone: 229-888-1624 |