Active NPI
Extremity Imaging Partners Inc
- Magnetic Resonance Imaging Radiologic Technologist
- Wexford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- Legal business name
- EXTREMITY IMAGING PARTNERS INC
- Practice address
- 4500 Brooktree Rd
Ste 100
Wexford, PA 15090-9289 - Phone
- (866) 398-7364
- Fax
- (866) 267-0144
- NPI assigned
- Oct 25, 2005
- 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
- A Jerome Digiacobbe
- Title
- Ceo
- Phone
- (866) 398-7364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | Primary |
Addresses
Primary practice location
4500 Brooktree Rd
Ste 100
Wexford, PA 15090-9289
Mailing address
4500 Brooktree Rd
Ste 300
Wexford, PA 15090-9289
Phone (866) 398-7364
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200423690A | Medicaid | KS | |
| 258396 | Other | PA | HEALTH ASSURANCE |
| PA255 | Other | PA | ONE CALL MEDICAL |
| 000000340701 | Other | OH | ANTHEM BCBS |
| 000000378160 | Other | OH | ANTHEM BCBS-DAYTON |
| 1009572010004 | Medicaid | PA | |
| 300686212 | Other | PA | W/C US DEPT OF LABOR OWPC |
| 2273614 | Medicaid | OH | |
| 1009572010002 | Medicaid | PA | |
| 7823651 | Other | PA | AETNA |
| 000000340701 | Other | IN | ANTHEM BCBS |
| 1009572010001 | Medicaid | PA | |
| 1009572010003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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5423 Mahoning Ave
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Youngstown, OH 44515
Phone (330) 793-4089
2045 Westgate Dr
Ste 202
Bethlehem, PA 18017
Phone (610) 866-0243
72 Glenmaura National Blvd
Ste 101
Moosic, PA 18507
Phone (570) 969-5700
4500 Brooktree Rd
Ste 100
Wexford, PA 15090
4500 Brooktree Rd
Ste 300
Wexford, PA 15090
Phone (724) 933-6569
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- North Andover, MA
- NPI 1518932201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247011200000",
"number": "1528058245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 BROOKTREE RD",
"address_2": "STE 300",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909289",
"telephone_number": "866-398-7364",
"fax_number": "866-267-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 BROOKTREE RD",
"address_2": "STE 100",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909289",
"telephone_number": "866-398-7364",
"fax_number": "866-267-0144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXTREMITY IMAGING PARTNERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-25",
"last_updated": "2009-07-08",
"status": "A",
"authorized_official_last_name": "DIGIACOBBE",
"authorized_official_first_name": "A JEROME",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "866-398-7364"
},
"taxonomies": [
{
"code": "2471M1202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200423690A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "258396",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE CALL MEDICAL",
"identifier": "PA255",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000340701",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS-DAYTON",
"identifier": "000000378160",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009572010004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "W/C US DEPT OF LABOR OWPC",
"identifier": "300686212",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2273614",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009572010002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7823651",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000340701",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009572010001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009572010003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.