Specialized Radiology Services Inc

Primary specialty

Pediatric Radiology PhysicianTaxonomy code 2085P0229X

Legal business name

SPECIALIZED RADIOLOGY SERVICES INC

Doing business as

Pediatric Radiology of America

Practice address

2840 Electric Rd
Suite 205-a
Roanoke, VA 24018-3551

Phone

(540) 904-4088

NPI assigned

May 17, 2012

Organization subpart

No

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

Authorized official

Name

Shehnaz Pancholi

Title

Ceo

Phone

(617) 868-0042

Specialties & licenses 2

Addresses

Other names 1

• PEDIATRIC RADIOLOGY OF AMERICA Doing business as

Locations

Practitioners 5

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

• Geoffrey A Agrons, MD

  • Pediatric Radiology Physician
  • Hudson, OH
  • NPI 1639105414
  NPD (past)
• Melania Liza Bula, MD

  • Pediatric Radiology Physician
  • Palo Alto, CA
  • NPI 1255413852
  NPD (past)
• Mark J Halsted, MD

  • Pediatric Radiology Physician
  • Hudson, OH
  • NPI 1659384899
  NPD (past)
• David W McDonald, M.D.

  • Pediatric Radiology Physician
  • North Lima, OH
  • NPI 1619167269
  NPD (past)
• Gauravi Sabharwal, M.D.

  • Diagnostic Radiology Physician
  • Detroit, MI
  • NPI 1568530202

  Pediatric Radiology

  NPD (past)

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1588924013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 ELECTRIC RD",
            "address_2": "SUITE 205-A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183551",
            "telephone_number": "540-904-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 ELECTRIC RD",
            "address_2": "SUITE 205-A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183551",
            "telephone_number": "540-904-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED RADIOLOGY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "PANCHOLI",
        "authorized_official_first_name": "SHEHNAZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-868-0042"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRIC RADIOLOGY OF AMERICA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Joseph Spano, DO
• Shauna Spanos, MD
• Haywood Merritt Sparger Jr., D.D.S.
• Nicholas Jay Sparler, M.D.
• Marcus L Speaker, MD
• Specialty RX of VA LLC (Specialty Rx Virginia)
• Speech by Kelly
• Lee Ann Speed, CRNA
• Aderonke Speliotis
• Cherie Crawford Spence

• Pediatric Radiology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pediatric Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.