Central Pennsylvania Imaging, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CENTRAL PENNSYLVANIA IMAGING, PC

Practice address

105 Nason Dr
Roaring Spring, PA 16673-1202

Phone

(814) 224-2141

NPI assigned

May 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert L Balestrero, MD

Title

Pres.

Phone

(814) 224-2141

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538110804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NASON DR",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731202",
            "telephone_number": "814-224-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NASON DR",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731202",
            "telephone_number": "814-224-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PENNSYLVANIA IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALESTRERO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "814-224-2141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019431910002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice B Brannan
• Carolyn D Brumbaugh, RN, CRNP
• Taylor Buchanan, PT
• Brian Kent Burket, LPC
• Kelly Lee Bushore, PHYSICAL THERAPIST
• Shawn A Claycomb, D.C.
• Concussion Management Center of Central PA, LLC
• Jennifer L Covaleski, PT
• Cove Family Practice, Inc.
• Cove Home Care, LLC

• Diagnostic Radiology Physician in Roaring Spring, PA
• Providers in Roaring Spring, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.