Active NPI
Adams Diagnostic Imaging, LLC
- Body Imaging Physician
- Gettysburg, PA
National Provider Identifier
1013081413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- Legal business name
- ADAMS DIAGNOSTIC IMAGING, LLC
- Practice address
- 20 Expedition Trail
Suite 102
Gettysburg, PA 17325 - Phone
- (717) 337-5991
- Fax
- (717) 337-5995
- NPI assigned
- Nov 17, 2006
- Last updated
- Jan 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Satish A Shah, M.D.
- Title
- Medical Director
- Phone
- (717) 337-5991
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | NU | Primary | |
| Neuroradiology Physician | 2085N0700X | NU | ||
| Nuclear Radiology Physician | 2085N0904X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | NU | ||
| Diagnostic Ultrasound Physician | 2085U0001X | NU |
Addresses
Primary practice location
20 Expedition Trail
Suite 102
Gettysburg, PA 17325
Mailing address
20 Expedition Trail
Suite 102
Gettysburg, PA 17325
Phone (717) 337-5991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019066640001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
20 Expedition Trl
Ste 102
Gettysburg, PA 17325
Phone (717) 334-4033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484179200000",
"number": "1013081413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 EXPEDITION TRAIL",
"address_2": "SUITE 102",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "17325",
"telephone_number": "717-337-5991",
"fax_number": "717-337-5995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 EXPEDITION TRAIL",
"address_2": "SUITE 102",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "17325",
"telephone_number": "717-337-5991",
"fax_number": "717-337-5995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAMS DIAGNOSTIC IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2017-01-12",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "SATISH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "717-337-5991",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019066640001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gettysburg, PA
- Shubha R Acharya, MD
- Theresa Yankey Acquaah, M.D.
- William J. Adair, M.D.
- Adams County Chiropractic, PC (Gettysburg Rehabilitation Services, Inc.)
- Adams County Office for Aging, Inc.
- Adams Endocrinology Associates LLC
- Adams Hanover ENT, LLC
- Adams Oral Surgery Inc
- Mitul Afiniwala, M.D.
- Tasneem Shabnam Ahmed, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.