Organization Active NPI

Ohio Advanced Imaging Medical, P.C.

  • Radiology Clinic/Center
  • Dover, DE
National Provider Identifier
1093609414
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
OHIO ADVANCED IMAGING MEDICAL, P.C.
Practice address
1111B S Governors Ave Ste 34451
Dover, DE 19904-6903
Phone
(614) 756-2892
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Waronker
Title
Managing Director
Phone
(614) 756-2892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1111B S Governors Ave Ste 34451
Dover, DE 19904-6903

Mailing address

1111B S Governors Ave Ste 34451
Dover, DE 19904-6903

National Provider Directory

National Provider Directory

Locations

1111B S Governors Ave
Ste 34451
Dover, DE 19904
Phone (614) 756-2892

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1093609414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111B S GOVERNORS AVE STE 34451",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111B S GOVERNORS AVE STE 34451",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903",
            "telephone_number": "614-756-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO ADVANCED IMAGING MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "WARONKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "614-756-2892"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.