Organization Active NPI

Finizio - Radiology Imaging Assoicates, P.C.

  • Specialist
  • Waldorf, MD
National Provider Identifier
1174568273
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0014005 Issued in MD
Legal business name
FINIZIO - RADIOLOGY IMAGING ASSOICATES, P.C.
Practice address
11335 Pembrooke SQ Ste 101
Waldorf, MD 20603-4845
Phone
(301) 932-4522
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Renee Richardson
Title
Credentialing Coordinator
Phone
(301) 856-6718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0014005 MD Primary

Addresses

Primary practice location

11335 Pembrooke SQ Ste 101
Waldorf, MD 20603-4845

Mailing address

7801 Old Branch Ave
Suite 300
Clinton, MD 20735-1608
Phone (301) 856-6718

Other practice location 1

8926 Woodyard Rd Ste 401
Clinton, MD 20735-4233
Phone (301) 856-2420

Other practice location 2

8926 Woodyard Rd Ste 301
Clinton, MD 20735-4232
Phone (301) 856-3670

Other practice location 3

230 W Dares Beach Rd
Prince Frederick, MD 20678-3150
Phone (301) 855-9754

Other practice location 4

7801 Old Branch Ave
Suite 300
Clinton, MD 20735-1608
Phone (301) 856-6718 ext. 614

Other identifiers 4

IdentifierTypeStateIssuer
407579003MedicaidMD
407579002MedicaidMD
407579000MedicaidMD
407579001MedicaidMD

Other names 1

  • Radiology Imaging Associates Other name

National Provider Directory

National Provider Directory

Locations

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

8926 Woodyard Rd
Ste 401
Clinton, MD 20735
Phone (301) 856-2420

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174568273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVE",
            "address_2": "SUITE 300",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351608",
            "telephone_number": "301-856-6718",
            "fax_number": "301-856-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 PEMBROOKE SQ STE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034845",
            "telephone_number": "301-932-4522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8926 Woodyard Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207354233",
            "country_code": "US",
            "telephone_number": "301-856-2420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8926 Woodyard Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207354232",
            "country_code": "US",
            "telephone_number": "301-856-3670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 W Dares Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206783150",
            "country_code": "US",
            "telephone_number": "301-855-9754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7801 Old Branch Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207351608",
            "country_code": "US",
            "telephone_number": "301-856-6718 x614",
            "fax_number": "301-856-6722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FINIZIO - RADIOLOGY IMAGING ASSOICATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "301-856-6718",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0014005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407579003",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407579002",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407579000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407579001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiology Imaging Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.