Summit Radiology Pc in Fort Wayne - Diagnostic Radiology
Summit Radiology Pc - NPI 1073584587
Summit Radiology Pc is a Diagnostic Radiology in Fort Wayne, Indiana. Summit Radiology Pc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Summit Radiology Pc is 1073584587. The last update date is 2022-03-03.
Summit Radiology Pc's current location address is 7221 Engle Rd Ste 220, Fort Wayne, Indiana. You can contact this provider via phone number 2604321568 and fax number 2604324969. The mailing address for Summit Radiology Pc is 7221 Engle Rd Ste 220, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Summit Radiology Pc |
|---|---|
| Address | 7221 Engle Rd Ste 220, Fort Wayne, Indiana |
| Phone Number | 2604321568 |
| Fax Number | 2604324969 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Branam Daniel |
| Credentials | MD |
| Telephone Number | 2604321568 |
NPI Number Detail
| NPI Number | 1073584587 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2022-03-03 |
Provider Mailing Address Detail
| Address | 7221 Engle Rd Ste 220 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468042233 |
| Phone Number | 2604321568 |
| Fax Number | 2604324969 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100282650 | IN | -- | |
| CC0677 | IN | MEDICARE RAILROAD | |
| 246246 | OH | -- |
Post Comment/ Review Below
What is the Summit Radiology Pc's 1073584587?
The Summit Radiology Pc's NPI (National Provider Identifier) Number is 1073584587. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Summit Radiology Pc?
The Summit Radiology Pc is situated at 7221 Engle Rd Ste 220, in the city of Fort Wayne, state of IN, with the zip code 468042233.
What is the Summit Radiology Pc's specialty and taxonomy code?
The Summit Radiology Pc's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did Summit Radiology Pc receive its 1073584587 assignment from the Centers for Medicare & Medicaid Services?
The Summit Radiology Pc was assigned its 1073584587 on 2006-02-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Summit Radiology Pc most recently updated or revised?
The details related to Summit Radiology Pc, including its address, specialty, and other relevant information, were last updated or revised on 2022-03-03.