Organization Active NPI

Extremity Imaging Partners Inc

  • Magnetic Resonance Imaging Radiologic Technologist
  • Wexford, PA
National Provider Identifier
1528058245
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
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

Updated by the provider on Jul 8, 2009

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)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200423690AMedicaidKS
258396OtherPAHEALTH ASSURANCE
PA255OtherPAONE CALL MEDICAL
000000340701OtherOHANTHEM BCBS
000000378160OtherOHANTHEM BCBS-DAYTON
1009572010004MedicaidPA
300686212OtherPAW/C US DEPT OF LABOR OWPC
2273614MedicaidOH
1009572010002MedicaidPA
7823651OtherPAAETNA
000000340701OtherINANTHEM BCBS
1009572010001MedicaidPA
1009572010003MedicaidPA

National Provider Directory

National Provider Directory

Locations

150 Alhambra Cir
Ste 1170
Coral Gables, FL 33134
Phone (305) 443-9199

3200 Grand Ave
Rm 3
Des Moines, IA 50312
Phone (515) 271-1043

5440 N Cumberland Ave
Ste A165
Chicago, IL 60656
Phone (773) 714-0207

11011 King St
Ste 225
Overland Park, KS 66210
Phone (913) 906-9572

11011 King St
Ste 275
Overland Park, KS 66210
Phone (913) 906-9572

23611 Chagrin Blvd
Ste 245
Beachwood, OH 44122

4960 Higbee Ave NW
Ste 100
Canton, OH 44718
Phone (330) 933-4903

7000 Euclid Ave
Ste 101
Cleveland, OH 44103
Phone (216) 231-5612

7777 Washington Village Dr
Ste 240
Dayton, OH 45459
Phone (937) 439-9720

8569 N Dixie Dr
Dayton, OH 45414
Phone (937) 898-7023

3250 W Market St
Ste 306
Fairlawn, OH 44333

3250 W Market St
Ste 9
Fairlawn, OH 44333
Phone (330) 836-5724

700 Taylor Rd
Ste 160
Gahanna, OH 43230
Phone (614) 475-7355

6902 Pearl Rd
Ste 420
Middleburg Heights, OH 44130
Phone (440) 887-2300

6455 Frank Ave NW
North Canton, OH 44720
Phone (330) 491-0872

2281 Village Mall Dr
Unit 1
Ontario, OH 44906
Phone (419) 938-4004

3306 Executive Pkwy
Ste 105
Toledo, OH 43606

24700 Center Ridge Rd
Ste 111
Westlake, OH 44145
Phone (440) 871-4000

6797 N High St
Ste 106
Worthington, OH 43085
Phone (614) 436-2605

5423 Mahoning Ave
Ste G
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.

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.

Verify at the official NPI Registry.