Radserve, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

124078 Issued in NY

Legal business name

RADSERVE, LLC

Practice address

875 Grove St
Meadville, PA 16335-2411

Phone

(814) 336-3008

NPI assigned

Jul 10, 2006

Last updated

Oct 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bob Greenwald, MDNPI 1144275207

Title

Sole Propietor

Phone

(814) 336-3008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vladimir Ioffe, MD

  • Radiation Oncology Physician
  • Greenbelt, MD
  • NPI 1700824794
  Medicare reassignment
• Bob Greenwald, M.D.

  • Diagnostic Radiology Physician
  • Hackensack, NJ
  • NPI 1144275207
  NPD (past) Authorized official
• Steven Joseph Gregoritch, M.D.

  • Radiation Oncology Physician
  • Oil City, PA
  • NPI 1841290772
  NPD (past)
• Michael Duff, M.D.

  • Radiation Oncology Physician
  • Cheektowaga, NY
  • NPI 1083648646
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1114951068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352411",
            "telephone_number": "814-336-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADSERVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "GREENWALD",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "SOLE PROPIETOR",
        "authorized_official_telephone_number": "814-336-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "124078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Private Healthcare Facilities
• John M. Pulito, M.D.
• Anthony James Quindardo, PA-C
• R. W. Petruso Hearing and Audiology Center, Inc
• Nathan Radicella, PHARM. D.
• Muhammad Mujibur Rahman, M.D.
• Lisa Marie Raiber, DO
• Ralph E. Landefeld PH.D. P.C.
• Elizabeth Anne Ramsey, D.O.
• Renee M Ray, PA

• Specialist in Meadville, PA
• Providers in Meadville, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.