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
- 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007460650027 | Medicaid | PA |
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
2932 Frontage Rd
Warsaw, IN 46580
Phone (574) 269-2223
800 Market St
Ste 500
Saint Louis, MO 63101
Practitioners & affiliated clinicians
Practitioners 47
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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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007460650027",
"state": "PA"
}
],
"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.