Active NPI
USA Radiology of Pennsylvania, LLC
- Body Imaging Physician
- Meadville, PA
National Provider Identifier
1164907655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- Legal business name
- USA RADIOLOGY OF PENNSYLVANIA, LLC
- Practice address
- 751 Liberty St
Meadville, PA 16335-2559 - Phone
- (314) 238-5260
- NPI assigned
- Oct 1, 2018
- Last updated
- Feb 28, 2023
- 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
- Mr. Patrick Barron
- Title
- Ceo
- Phone
- (314) 238-5260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | Primary |
Addresses
Primary practice location
751 Liberty St
Meadville, PA 16335-2559
Mailing address
PO Box 2153 Dept 5627
Birmingham, AL 35287-5627
Phone (314) 238-5260
Other practice location 1
965 Shamrock Ln
Corry, PA 16407-9121
Phone (314) 821-8055
Other practice location 2
5515 Peach St
Erie, PA 16509-2603
Phone (314) 821-8055
Other practice location 3
406 W Oak St
Titusville, PA 16354-1404
Phone (314) 821-8055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MO, TN, TX, DC, VA, IN, NC, MA
Enrollment records 9
National Provider Directory
National Provider DirectoryLocations
800 Market St
Ste 500
Saint Louis, MO 63101
Practitioners & affiliated clinicians
Practitioners 47
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.
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- Saint Louis, MO
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677542400000",
"number": "1164907655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2153 DEPT 5627",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352875627",
"telephone_number": "314-238-5260",
"fax_number": "314-821-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 LIBERTY ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352559",
"telephone_number": "314-238-5260"
}
],
"practiceLocations": [
{
"address_1": "965 Shamrock Ln",
"address_purpose": "LOCATION",
"city": "Corry",
"state": "PA",
"postal_code": "164079121",
"country_code": "US",
"telephone_number": "314-821-8055",
"fax_number": "314-821-1833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5515 Peach St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165092603",
"country_code": "US",
"telephone_number": "314-821-8055",
"fax_number": "314-821-1833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "406 W Oak St",
"address_purpose": "LOCATION",
"city": "Titusville",
"state": "PA",
"postal_code": "163541404",
"country_code": "US",
"telephone_number": "314-821-8055",
"fax_number": "314-821-1833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "USA RADIOLOGY OF PENNSYLVANIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-01",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A",
"authorized_official_last_name": "BARRON",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-238-5260",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.