Donald Underwood, DO | |
230 N Broad St, Ms310, Phila, PA 19102-1121 | |
(215) 762-1808 | |
(215) 762-4721 |
Full Name | Donald Underwood |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 51 Years |
Location | 230 N Broad St, Phila, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932180890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | OS007108E (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inspira Medical Center Vineland | Vineland, NJ | Hospital |
Inspira Medical Center Elmer | Elmer, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Atlantic Medical Imaging | 0345215141 | 98 |
Regional Diagnostic Imaging Llc | 3779593470 | 26 |
Entity Name | Atlantic Medical Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396771556 PECOS PAC ID: 0345215141 Enrollment ID: O20040826000336 |
Entity Name | Regional Diagnostic Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972575892 PECOS PAC ID: 3779593470 Enrollment ID: O20060426000029 |
Entity Name | Ami Atlanticare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275762023 PECOS PAC ID: 7113073263 Enrollment ID: O20090915000606 |
Mailing Address | Practice Location Address |
---|---|
Donald Underwood, DO 1500 Market St, 24th Floor-west Tower, Phila, PA 19102-2100 Ph: (215) 255-3828 | Donald Underwood, DO 230 N Broad St, Ms310, Phila, PA 19102-1121 Ph: (215) 762-1808 |
Dr. Jean H Kirk, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Broad And Vine Streets, Ms310, Phila, PA 19102 Phone: 215-762-1808 Fax: 215-762-1255 | |
Carlos Gonzalez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Broad And Vine Sts, Ms 310, Phila, PA 19102 Phone: 215-762-4312 Fax: 215-762-8656 |