| Northeast Open Mri | |
|
9815 Roosevelt Boulevard Suite K Philadelphia PA 19114 | |
| (215) 335-1100 | |
| (215) 335-5370 |
| Full Name | Northeast Open Mri |
|---|---|
| Speciality | Clinic/Center |
| Location | 9815 Roosevelt Boulevard, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Bruce Miller (PRESIDENT) |
| Authorized Official Contact | 2153351100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Open Mri 9815 Roosevelt Boulevard Suite K Philadelphia PA 19114 Ph: (215) 335-1100 | Northeast Open Mri 9815 Roosevelt Boulevard Suite K Philadelphia PA 19114 Ph: (215) 335-1100 |
| NPI Number | 1033130240 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 02/26/2024 |
| Medicare PECOS PAC ID | 5193794386 |
|---|---|
| Medicare Enrollment ID | O20050303000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033130240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Philip S Yussen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134117518 PECOS PAC ID: 6204734775 Enrollment ID: I20031222000330 |
| Provider Name | Irene B Darocha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023040813 PECOS PAC ID: 8921079237 Enrollment ID: I20040802000855 |
| Provider Name | Joel D Swartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942231279 PECOS PAC ID: 9234126459 Enrollment ID: I20040802001142 |
| Provider Name | Donald S Ostrum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578563532 PECOS PAC ID: 7214839851 Enrollment ID: I20041011000159 |
| Provider Name | Larry A Lecavalier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588661870 PECOS PAC ID: 3375532443 Enrollment ID: I20041206000312 |
| Provider Name | Richard M Chesnick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760584312 PECOS PAC ID: 2567428774 Enrollment ID: I20060315000086 |
| Provider Name | Christopher T Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508908088 PECOS PAC ID: 3173627312 Enrollment ID: I20070614000138 |
| Provider Name | Skip M Alderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669521803 PECOS PAC ID: 3173653631 Enrollment ID: I20100609000472 |
| Provider Name | Michael J Gold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215151162 PECOS PAC ID: 0840322632 Enrollment ID: I20100714000367 |
| Provider Name | Jeffrey D Steinig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447347455 PECOS PAC ID: 2466584610 Enrollment ID: I20100723000134 |
| Provider Name | Vikram Sobti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851608756 PECOS PAC ID: 1850516303 Enrollment ID: I20200121000796 |
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