| One Hundred Oaks Imaging,llc | |
|
719 Thompson Ln, Suite 23300, Nashville, TN 37204-3609 | |
| (615) 936-3606 | |
| (615) 936-5343 |
| Full Name | One Hundred Oaks Imaging,llc |
|---|---|
| Type | Facility |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 719 Thompson Ln, Nashville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245485549 | NPI | - | NPPES |
| Provider Name | Ricardo B Fonseca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508940602 PECOS PAC ID: 8729983069 Enrollment ID: I20031201000468 |
| Provider Name | Alice A Hinton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801988217 PECOS PAC ID: 3678469871 Enrollment ID: I20040225000184 |
| Provider Name | Arthur C Fleischer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013009448 PECOS PAC ID: 6002706850 Enrollment ID: I20040317000190 |
| Provider Name | Sudha P Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609950708 PECOS PAC ID: 2062407802 Enrollment ID: I20040420000139 |
| Provider Name | Marta F Hernanz-schulman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386728491 PECOS PAC ID: 3173510229 Enrollment ID: I20040429000612 |
| Provider Name | Jackiel R Mayo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609950716 PECOS PAC ID: 2466440706 Enrollment ID: I20040504001622 |
| Provider Name | Michael T Modic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285698290 PECOS PAC ID: 3274445499 Enrollment ID: I20040527000809 |
| Provider Name | Kimberly C Brennan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770520520 PECOS PAC ID: 9830171834 Enrollment ID: I20040603000617 |
| Provider Name | Andrea Birch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386629780 PECOS PAC ID: 5395728273 Enrollment ID: I20040610001702 |
| Provider Name | Robert Jeffrey Mahoney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043206329 PECOS PAC ID: 6800874017 Enrollment ID: I20040713000403 |
| Provider Name | Gerald M Thorburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467558221 PECOS PAC ID: 0840279352 Enrollment ID: I20040719000232 |
| Provider Name | Kevin T Mcmanus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649367749 PECOS PAC ID: 1052381951 Enrollment ID: I20040728001085 |
| Provider Name | Jeffrey L Creasy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992897300 PECOS PAC ID: 7012987472 Enrollment ID: I20040731000080 |
| Provider Name | Joseph M Aulino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285721316 PECOS PAC ID: 8628049012 Enrollment ID: I20040731000366 |
| Provider Name | Daniel L Starnes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467427955 PECOS PAC ID: 0840262465 Enrollment ID: I20040812000645 |
| Provider Name | Rochelle F Andreotti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033206156 PECOS PAC ID: 5799767661 Enrollment ID: I20041222000788 |
| Provider Name | John D Ross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295822328 PECOS PAC ID: 5597718064 Enrollment ID: I20050224000245 |
| Provider Name | Richard M Fleming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831192087 PECOS PAC ID: 4183697451 Enrollment ID: I20050922000914 |
| Provider Name | Charles V Depriest |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104911387 PECOS PAC ID: 5193740074 Enrollment ID: I20051010000839 |
| Provider Name | Grant D Ordiway |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467448886 PECOS PAC ID: 0941224679 Enrollment ID: I20060120000800 |
| Provider Name | Martin Jordanov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215966726 PECOS PAC ID: 2769486232 Enrollment ID: I20060914000476 |
| Provider Name | Melissa A Hilmes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841221868 PECOS PAC ID: 8426054644 Enrollment ID: I20070904000061 |
| Provider Name | Tamarya L Hoyt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124242508 PECOS PAC ID: 8426145285 Enrollment ID: I20071026000271 |
| Provider Name | Cari L Motuzas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013107697 PECOS PAC ID: 7810084555 Enrollment ID: I20071029000221 |
| Provider Name | Jennifer Robinson Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023046901 PECOS PAC ID: 3678576436 Enrollment ID: I20071218000380 |
| Provider Name | Gary T Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134122310 PECOS PAC ID: 4183713910 Enrollment ID: I20080107000648 |
| Provider Name | Christine K Dove |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891842779 PECOS PAC ID: 3577643956 Enrollment ID: I20080110000581 |
| Provider Name | Geoffrey E Wile |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588618300 PECOS PAC ID: 0345243440 Enrollment ID: I20080806000255 |
| Provider Name | Glynis A Sacks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124102249 PECOS PAC ID: 9931264421 Enrollment ID: I20090217000428 |
| Provider Name | Sara M Harvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780839209 PECOS PAC ID: 9739239658 Enrollment ID: I20090615000237 |
| Provider Name | Amanda Jane Nelson Ragle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417004375 PECOS PAC ID: 7810040300 Enrollment ID: I20090730000590 |
| Provider Name | Asma Ahmad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720146673 PECOS PAC ID: 5496829335 Enrollment ID: I20091209000018 |
| Provider Name | Steven G Meranze |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1043302458 PECOS PAC ID: 0345378550 Enrollment ID: I20100510000330 |
| Provider Name | Edwin Donnelly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215029632 PECOS PAC ID: 8820126915 Enrollment ID: I20100511000619 |
| Provider Name | Ronald C Arildsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316039720 PECOS PAC ID: 0042348971 Enrollment ID: I20100513000249 |
| Provider Name | Murray J Mazer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538189444 PECOS PAC ID: 6800925546 Enrollment ID: I20100519000033 |
| Provider Name | Stephanie C Kurita |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982753968 PECOS PAC ID: 3072644046 Enrollment ID: I20100708000758 |
| Provider Name | Gabriella L Crane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598931032 PECOS PAC ID: 4183756554 Enrollment ID: I20100720001004 |
| Provider Name | Sumit Pruthi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306951579 PECOS PAC ID: 9234229295 Enrollment ID: I20100929000102 |
| Provider Name | Sarah D Valenti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720289796 PECOS PAC ID: 9638357585 Enrollment ID: I20110624000401 |
| Provider Name | Lucy B Spalluto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033311360 PECOS PAC ID: 1951589662 Enrollment ID: I20110628000906 |
| Provider Name | Mark Roddy Russell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053307223 PECOS PAC ID: 9537290366 Enrollment ID: I20111102000526 |
| Provider Name | Yu Luo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386805430 PECOS PAC ID: 7012185044 Enrollment ID: I20111201000537 |
| Provider Name | Elton Benjamin Greene |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649471780 PECOS PAC ID: 8426207721 Enrollment ID: I20121002000244 |
| Provider Name | Michelle L Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730427337 PECOS PAC ID: 4486893732 Enrollment ID: I20130617000437 |
| Provider Name | Floyd D Dunnavant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851549240 PECOS PAC ID: 1052557865 Enrollment ID: I20130703000390 |
| Provider Name | Nam T Le |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548437437 PECOS PAC ID: 5698915163 Enrollment ID: I20130703000456 |
| Provider Name | Gary Travis Patterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487816948 PECOS PAC ID: 0143462341 Enrollment ID: I20130819000550 |
| Provider Name | John J Carr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497730899 PECOS PAC ID: 9739240367 Enrollment ID: I20130828000028 |
| Provider Name | Larry T Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730352428 PECOS PAC ID: 4880838002 Enrollment ID: I20130910000159 |
| Provider Name | Adam R Guttentag |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316983695 PECOS PAC ID: 1951340462 Enrollment ID: I20140520000739 |
| Provider Name | Shaun Wahab |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831327634 PECOS PAC ID: 5698992345 Enrollment ID: I20140804002381 |
| Provider Name | Kim Sandler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114151479 PECOS PAC ID: 8921225517 Enrollment ID: I20140805001520 |
| Provider Name | Morgan D Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255575320 PECOS PAC ID: 6901023506 Enrollment ID: I20140805001661 |
| Provider Name | Rifat Ali Wahab |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407083660 PECOS PAC ID: 7719118157 Enrollment ID: I20140825001959 |
| Provider Name | Blake Saltaformaggio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285875260 PECOS PAC ID: 2860610375 Enrollment ID: I20140826000183 |
| Provider Name | Aaron Yang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245541846 PECOS PAC ID: 0749422400 Enrollment ID: I20141219001657 |
| Provider Name | Chirayu Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679620561 PECOS PAC ID: 8022335991 Enrollment ID: I20150402002084 |
| Provider Name | Lori A Deitte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710951512 PECOS PAC ID: 0143263913 Enrollment ID: I20150410000812 |
| Provider Name | Bryan I Hartley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356662506 PECOS PAC ID: 9133431661 Enrollment ID: I20150710002590 |
| Provider Name | Katherine C Frederick-dyer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932424629 PECOS PAC ID: 1658513098 Enrollment ID: I20150722004926 |
| Provider Name | Peter L Shanahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457671760 PECOS PAC ID: 9537473848 Enrollment ID: I20150730013056 |
| Provider Name | Laveil M Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629397047 PECOS PAC ID: 7618281890 Enrollment ID: I20150731015955 |
| Provider Name | William H Laxton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457588832 PECOS PAC ID: 8123267275 Enrollment ID: I20150803000443 |
| Provider Name | Filip Banovac |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699773721 PECOS PAC ID: 7517929573 Enrollment ID: I20150929001816 |
| Provider Name | Alexis B Paulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790969046 PECOS PAC ID: 9739264003 Enrollment ID: I20160106001551 |
| Provider Name | Charla E Walston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548632821 PECOS PAC ID: 5597060483 Enrollment ID: I20160302000704 |
| Provider Name | William Allison Barret |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891012696 PECOS PAC ID: 2668618315 Enrollment ID: I20160616001495 |
| Provider Name | Colin Mcknight |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770725905 PECOS PAC ID: 7416260989 Enrollment ID: I20160627001916 |
| Provider Name | Joel S Benveniste |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316902703 PECOS PAC ID: 3678465309 Enrollment ID: I20160628001551 |
| Provider Name | Krupa K Patel-lippmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609188622 PECOS PAC ID: 6709009301 Enrollment ID: I20160629000931 |
| Provider Name | Kevin Diehl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588899215 PECOS PAC ID: 6507089950 Enrollment ID: I20160705001621 |
| Provider Name | Anthony J Borgmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861782831 PECOS PAC ID: 5890932206 Enrollment ID: I20160714002095 |
| Provider Name | Brent Vernon Savoie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780812289 PECOS PAC ID: 5294984985 Enrollment ID: I20160715000872 |
| Provider Name | Byron J Schneider |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790078178 PECOS PAC ID: 7214245133 Enrollment ID: I20160801000861 |
| Provider Name | Ryan David Muller |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1437305000 PECOS PAC ID: 7911145149 Enrollment ID: I20170322002271 |
| Provider Name | William Jamison Walton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558620864 PECOS PAC ID: 4385947555 Enrollment ID: I20170710002520 |
| Provider Name | Aaron Craig Jessop |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1841483385 PECOS PAC ID: 7719001213 Enrollment ID: I20170726001923 |
| Provider Name | Marques L Bradshaw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144377946 PECOS PAC ID: 7618009697 Enrollment ID: I20170728002265 |
| Provider Name | Christopher Scott Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922207026 PECOS PAC ID: 4688838337 Enrollment ID: I20180627002470 |
| Provider Name | Phillip Dale Bates |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033479233 PECOS PAC ID: 2567690654 Enrollment ID: I20180711002509 |
| Provider Name | Reza A Imani-shikhabadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184980781 PECOS PAC ID: 6507184116 Enrollment ID: I20180726001903 |
| Provider Name | Asha Sarma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265702492 PECOS PAC ID: 9436391240 Enrollment ID: I20180726003561 |
| Provider Name | Ashish Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790040947 PECOS PAC ID: 0143592550 Enrollment ID: I20180730003662 |
| Provider Name | Elizabeth J Snyder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356609481 PECOS PAC ID: 2163650631 Enrollment ID: I20180801003711 |
| Provider Name | Courtney Miles Tomblinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699030759 PECOS PAC ID: 3173757192 Enrollment ID: I20180802002292 |
| Provider Name | Virginia B Planz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609135078 PECOS PAC ID: 4880904473 Enrollment ID: I20180806001723 |
| Provider Name | Katie M Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245597764 PECOS PAC ID: 9830331339 Enrollment ID: I20180823001973 |
| Provider Name | David James Kennedy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912009523 PECOS PAC ID: 9638215841 Enrollment ID: I20181001001916 |
| Provider Name | Christopher Troy Koch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114144417 PECOS PAC ID: 6608940226 Enrollment ID: I20181017002873 |
| Provider Name | Pamela E Duvall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326534884 PECOS PAC ID: 2567701881 Enrollment ID: I20190305000960 |
| Provider Name | Tiffany F Wright |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538655170 PECOS PAC ID: 8325380660 Enrollment ID: I20190507000677 |
| Provider Name | Ross D Whitacre |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407970411 PECOS PAC ID: 8022100569 Enrollment ID: I20190528000919 |
| Provider Name | Patrick M Couture |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356768469 PECOS PAC ID: 2567795032 Enrollment ID: I20190615000223 |
| Provider Name | Travis Scharr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952721839 PECOS PAC ID: 2668707266 Enrollment ID: I20190717003957 |
| Provider Name | Thomas Grillot |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578978243 PECOS PAC ID: 1052539749 Enrollment ID: I20190718003487 |
| Provider Name | Travis Mccall Palmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780003152 PECOS PAC ID: 9931324126 Enrollment ID: I20190725000320 |
| Provider Name | Christopher J Phelps |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497164909 PECOS PAC ID: 2062748866 Enrollment ID: I20190801000355 |
| Provider Name | John Ponting |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285072280 PECOS PAC ID: 1658679881 Enrollment ID: I20190802003015 |
| Provider Name | Rekha Krishnasarma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417290024 PECOS PAC ID: 3577890920 Enrollment ID: I20190808001576 |
| Provider Name | Cameron P Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831515287 PECOS PAC ID: 7214264449 Enrollment ID: I20190812001713 |
| Provider Name | Michael E Landman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770902785 PECOS PAC ID: 8921326182 Enrollment ID: I20190826000157 |
| Provider Name | David M Ray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730520842 PECOS PAC ID: 4082930037 Enrollment ID: I20190913002451 |
| Provider Name | Brett R Murdock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659699197 PECOS PAC ID: 8426371527 Enrollment ID: I20190916003292 |
| Provider Name | Daniel Jaller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659799955 PECOS PAC ID: 0941548077 Enrollment ID: I20190917003855 |
| Provider Name | Steven S Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194168831 PECOS PAC ID: 2264672146 Enrollment ID: I20191010001767 |
| Provider Name | Jenna Harmon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366860298 PECOS PAC ID: 5092039404 Enrollment ID: I20191010002938 |
| Provider Name | Joseph G William |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972920270 PECOS PAC ID: 1557588514 Enrollment ID: I20191016001150 |
| Provider Name | Stephen M Schaaf |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265851265 PECOS PAC ID: 2961766266 Enrollment ID: I20191024000263 |
| Provider Name | Anna Barr Thibodaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902434335 PECOS PAC ID: 8820429525 Enrollment ID: I20200513001813 |
| Provider Name | Lauren Gotwald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851787618 PECOS PAC ID: 0749527158 Enrollment ID: I20200521000531 |
| Provider Name | Cara Connolly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871989194 PECOS PAC ID: 0042631343 Enrollment ID: I20200521002120 |
| Provider Name | Lee Carroll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972982569 PECOS PAC ID: 8224459086 Enrollment ID: I20200602003179 |
| Provider Name | Vernon F Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811381536 PECOS PAC ID: 5294022968 Enrollment ID: I20200615003418 |
| Provider Name | Lucas James Magee |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457970642 PECOS PAC ID: 1456775592 Enrollment ID: I20200722000271 |
| Provider Name | Erin Cooke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831229095 PECOS PAC ID: 4587796180 Enrollment ID: I20200722003435 |
| Provider Name | Stephen B Little |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972577336 PECOS PAC ID: 3173600251 Enrollment ID: I20200723001464 |
| Provider Name | Danielle R Gallegos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255712147 PECOS PAC ID: 1557678620 Enrollment ID: I20200723003858 |
| Provider Name | Nicole Mullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215545140 PECOS PAC ID: 0446675839 Enrollment ID: I20200731002594 |
| Provider Name | Meredith Oakey Ashford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144614850 PECOS PAC ID: 8729403837 Enrollment ID: I20200806002648 |
| Provider Name | Philip Maximilian Scherer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609194547 PECOS PAC ID: 5698919132 Enrollment ID: I20200813000802 |
| Provider Name | Dann Cencak Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598102055 PECOS PAC ID: 3274867361 Enrollment ID: I20200819004107 |
| Provider Name | David Kunz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164414157 PECOS PAC ID: 2769387125 Enrollment ID: I20201204002380 |
| Provider Name | Nicholson S Chadwick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669736948 PECOS PAC ID: 8921240995 Enrollment ID: I20210507001380 |
| Provider Name | William Winter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801281258 PECOS PAC ID: 0840609459 Enrollment ID: I20210512001161 |
| Provider Name | Catherine Hawley Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952664484 PECOS PAC ID: 3577798172 Enrollment ID: I20210601000592 |
| Provider Name | Mina Tadros |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356791206 PECOS PAC ID: 6103107453 Enrollment ID: I20210614000844 |
| Provider Name | Andrew Evelsizer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184019572 PECOS PAC ID: 6901101096 Enrollment ID: I20210615002183 |
| Provider Name | Lauren Elyse Gates |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811343015 PECOS PAC ID: 5799078879 Enrollment ID: I20210621002930 |
| Provider Name | Joseph Oros |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821444142 PECOS PAC ID: 9830488295 Enrollment ID: I20210803001273 |
| Provider Name | Melissa Picard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790983351 PECOS PAC ID: 4082885736 Enrollment ID: I20210804000656 |
| Provider Name | Candace L Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225358096 PECOS PAC ID: 6608165063 Enrollment ID: I20210825000262 |
| Provider Name | Lindsey Shea Johnstone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447630728 PECOS PAC ID: 5294047320 Enrollment ID: I20211014003446 |
| Provider Name | Mariam Moshiri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407064421 PECOS PAC ID: 1052345345 Enrollment ID: I20220128000967 |
| Provider Name | Julie Bauml |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063738599 PECOS PAC ID: 0648590950 Enrollment ID: I20220607002243 |
| Provider Name | Montana R Keller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750817284 PECOS PAC ID: 6406127448 Enrollment ID: I20220608000212 |
| Provider Name | Kelsey G Courtney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598198988 PECOS PAC ID: 5890067011 Enrollment ID: I20220608000301 |
| Provider Name | Rishabh Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932633369 PECOS PAC ID: 1951789619 Enrollment ID: I20220608001959 |
| Provider Name | Tanner Robert Nichols |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053846857 PECOS PAC ID: 5597179408 Enrollment ID: I20220608002384 |
| Provider Name | Deepak Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982137816 PECOS PAC ID: 9739432139 Enrollment ID: I20220609000966 |
| Provider Name | David Walker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124548391 PECOS PAC ID: 9436420940 Enrollment ID: I20220614002729 |
| Provider Name | Emily Lippincut |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386177335 PECOS PAC ID: 7012396013 Enrollment ID: I20220622001711 |
| Provider Name | David Berndt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235667197 PECOS PAC ID: 0143609016 Enrollment ID: I20220623001099 |
| Provider Name | Jennifer A. Weaver |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518972884 PECOS PAC ID: 1759314024 Enrollment ID: I20220719002436 |
| Provider Name | Laura E Heyneman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710061874 PECOS PAC ID: 9638218977 Enrollment ID: I20220811000789 |
| Provider Name | John R. Scheel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720113624 PECOS PAC ID: 9234307901 Enrollment ID: I20220815002248 |
| Provider Name | David William Cline |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922162015 PECOS PAC ID: 5698808889 Enrollment ID: I20220815003387 |
| Provider Name | Heather Luckenbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982106084 PECOS PAC ID: 9133481187 Enrollment ID: I20221010000478 |
| Provider Name | Michael Gennaro Flowers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982067005 PECOS PAC ID: 0840579561 Enrollment ID: I20221017001382 |
| Provider Name | Nicholas Voutsinas |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1053790352 PECOS PAC ID: 6406195940 Enrollment ID: I20221020000934 |
| Provider Name | Tracey Leff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750623443 PECOS PAC ID: 3072981984 Enrollment ID: I20221128001851 |
| Provider Name | Alexandra Marie Foust |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295141703 PECOS PAC ID: 1355633017 Enrollment ID: I20221130002014 |
| Provider Name | Adonteng A. Kwakye |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144516485 PECOS PAC ID: 7618276916 Enrollment ID: I20221229002873 |
| Provider Name | Jessica Roseman Leschied-suszanski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972732501 PECOS PAC ID: 2668785114 Enrollment ID: I20230223000225 |
| Provider Name | Mary Helen Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114620739 PECOS PAC ID: 6305203100 Enrollment ID: I20230609002390 |
| Provider Name | Andrew Mitchell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508363292 PECOS PAC ID: 2769841477 Enrollment ID: I20230628003526 |
| Provider Name | Nicole Ashley Markwith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912403692 PECOS PAC ID: 5698024057 Enrollment ID: I20230713003731 |
| Provider Name | Timothy Fitzgerald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619473238 PECOS PAC ID: 8527317940 Enrollment ID: I20230719002596 |
| Provider Name | Ryan Keith Rigsby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679005094 PECOS PAC ID: 2860870011 Enrollment ID: I20230728001330 |
| Provider Name | Katharyn Cassella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760975239 PECOS PAC ID: 9830445709 Enrollment ID: I20230728002167 |
| Provider Name | Collin Howser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295269280 PECOS PAC ID: 5597140244 Enrollment ID: I20230802003641 |
| Provider Name | Matthew R Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083110381 PECOS PAC ID: 0648527226 Enrollment ID: I20230804000438 |
| Provider Name | Patrick Vande Lune |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710474945 PECOS PAC ID: 9436510484 Enrollment ID: I20230807003015 |
| Provider Name | Jessica P Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942704937 PECOS PAC ID: 6002278082 Enrollment ID: I20230809000646 |
| Provider Name | Andrew Marsala |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1477846269 PECOS PAC ID: 2961797634 Enrollment ID: I20230824001464 |
| Provider Name | Katherine Douglas Van Schaik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114417797 PECOS PAC ID: 4880943380 Enrollment ID: I20230828003444 |
| Provider Name | Cameron Eugene Henry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700375144 PECOS PAC ID: 9537522172 Enrollment ID: I20230829003253 |
| Provider Name | Meaghan Dendy Case |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245762434 PECOS PAC ID: 2466723671 Enrollment ID: I20230920003348 |
| Provider Name | Lauren Camille Snider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629599865 PECOS PAC ID: 3274887278 Enrollment ID: I20231005002310 |
| Provider Name | Andrew Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609294289 PECOS PAC ID: 7719289651 Enrollment ID: I20231013001393 |
| Provider Name | Lindsay Ladzinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700542040 PECOS PAC ID: 7618350380 Enrollment ID: I20231214000193 |
| Provider Name | Joseph Mccrary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215314323 PECOS PAC ID: 0648584862 Enrollment ID: I20240123000832 |
| Provider Name | Guiyun Wu |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1467400077 PECOS PAC ID: 6709785611 Enrollment ID: I20240124001767 |
| Provider Name | Aleksandra Nicole Miucin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154775666 PECOS PAC ID: 8628479375 Enrollment ID: I20240311000971 |
| Provider Name | Mario J Vela |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619354735 PECOS PAC ID: 7012215486 Enrollment ID: I20240521001375 |
| Provider Name | Heather Stefek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912398678 PECOS PAC ID: 3971945791 Enrollment ID: I20240524002232 |
| Provider Name | Heather Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235661877 PECOS PAC ID: 7719329077 Enrollment ID: I20240531002263 |
| Provider Name | Vincent Antonio Vetrano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144789280 PECOS PAC ID: 5698005346 Enrollment ID: I20240603003210 |
| Provider Name | Jarred Tyler Todd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578129953 PECOS PAC ID: 8729520911 Enrollment ID: I20240603003257 |
| Provider Name | Nicholas Guys |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699338731 PECOS PAC ID: 5991247108 Enrollment ID: I20240603004052 |
| Provider Name | Danielle Christine Mihora Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235699612 PECOS PAC ID: 4385186485 Enrollment ID: I20240604003504 |
| Provider Name | Joseph Hoang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841750270 PECOS PAC ID: 8527500644 Enrollment ID: I20240604004415 |
| Provider Name | William A. Moore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871797365 PECOS PAC ID: 5294975520 Enrollment ID: I20240605002248 |
| Provider Name | Emily Carswell Haas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932633914 PECOS PAC ID: 2961944657 Enrollment ID: I20240610002500 |
| Provider Name | Dirk Rehder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821021528 PECOS PAC ID: 5294807731 Enrollment ID: I20240613003869 |
| Provider Name | Shane Michael Hagen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538725742 PECOS PAC ID: 9133586886 Enrollment ID: I20240701001275 |
| Provider Name | Dustin Trevor Sattler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952862054 PECOS PAC ID: 2062747736 Enrollment ID: I20240702002664 |
| Provider Name | Harry Robert Marshall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386101947 PECOS PAC ID: 7810227527 Enrollment ID: I20240710002264 |
| Provider Name | Shelby Kathern Frantz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093212771 PECOS PAC ID: 1557807948 Enrollment ID: I20240722002389 |
| Provider Name | James Bernard Carrico |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659341337 PECOS PAC ID: 5092756973 Enrollment ID: I20240725001751 |
| Provider Name | Jennifer Sarah Lindsey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477013050 PECOS PAC ID: 6204163785 Enrollment ID: I20240729003345 |
| Provider Name | Bao T Bui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477767523 PECOS PAC ID: 8022140938 Enrollment ID: I20240731000170 |
| Provider Name | Simone Patalinghug Montoya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164711180 PECOS PAC ID: 8123371200 Enrollment ID: I20240802001421 |
| Provider Name | Margaret Kathleen Kincaid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174866305 PECOS PAC ID: 7416190848 Enrollment ID: I20240803000198 |
| Provider Name | Aaron Bisig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851852537 PECOS PAC ID: 6406393610 Enrollment ID: I20240806002624 |
| Provider Name | Zerwa Farooq |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376077420 PECOS PAC ID: 5698158251 Enrollment ID: I20240829002757 |
| Provider Name | Harlan M. Stock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023245537 PECOS PAC ID: 0648465666 Enrollment ID: I20240905003431 |
| Provider Name | Scott Evan Forseen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235352923 PECOS PAC ID: 4486783602 Enrollment ID: I20240917004023 |
| Provider Name | Jennifer Jinyi Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407344229 PECOS PAC ID: 4688926462 Enrollment ID: I20241023001681 |
| Provider Name | Addie Grace Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558109561 PECOS PAC ID: 4082147376 Enrollment ID: I20241024003132 |
| Provider Name | Pauline M Bishop |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659505089 PECOS PAC ID: 7618283532 Enrollment ID: I20241025003154 |
| Provider Name | Timothy Joseph Jenkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730298837 PECOS PAC ID: 4587843057 Enrollment ID: I20241104000182 |
| Provider Name | Nataliya V. Plyushcheva |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386616761 PECOS PAC ID: 6608843602 Enrollment ID: I20241108001157 |
| Provider Name | Srigouri Yalamanchili |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689806069 PECOS PAC ID: 0840469425 Enrollment ID: I20241120002315 |
| Provider Name | Michael Nissenbaum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356328975 PECOS PAC ID: 8325083546 Enrollment ID: I20241127002538 |
| Provider Name | Geming Li |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1134278641 PECOS PAC ID: 0345395521 Enrollment ID: I20241210002996 |
| Provider Name | Corrie M Yablon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710938931 PECOS PAC ID: 1850381948 Enrollment ID: I20250129001423 |
| Provider Name | Devamurugan Chandramohan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235166620 PECOS PAC ID: 7810088747 Enrollment ID: I20250203001040 |
| Provider Name | Shanna Allison Matalon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588927776 PECOS PAC ID: 7416275375 Enrollment ID: I20250213002678 |
| Provider Name | Eric Joseph Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528333838 PECOS PAC ID: 1456657352 Enrollment ID: I20250218001338 |
| Mailing Address | Practice Location Address |
|---|---|
| One Hundred Oaks Imaging,llc 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () - | One Hundred Oaks Imaging,llc 719 Thompson Ln, Suite 23300, Nashville, TN 37204-3609 Ph: (615) 936-3606 |