Quantum Imaging & Therapeutic Associates Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

QUANTUM IMAGING & THERAPEUTIC ASSOCIATES INC

Practice address

629D Lowther Rd
Lewisberry, PA 17339-9527

Phone

(717) 938-2765

Fax

(717) 932-3095

NPI assigned

Oct 3, 2005

Last updated

May 6, 2011By 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

Elizabeth Ann Bergey, MDNPI 1316934334

Title

President

Phone

(717) 932-5200

Specialties & licenses 10

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, DE, CA, KS, NY, MD, NJ, TX, CO, UT, AZ, FL, WI, MI, NV, VA, TN, MA, MS, PR, SC21 enrollments

Enrollment records 21

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Quantum Imaging & Therapeutic Associates, Inc

  • Diagnostic Radiology Physician
  • Lewisberry, PA
  • NPI 1548501026

  O20031107000322

  Same enrollment
• Quantum Imaging and Therapeutic Associates, Inc.

  • Diagnostic Radiology Physician
  • Wilmington, DE
  • NPI 1467873968

  O20140327000128

  Same enrollment

Locations

Practitioners 172

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony John Agbay Jr., D.O.

  • Diagnostic Radiology Physician
  • Sellersville, PA
  • NPI 1447426275
  Medicare reassignment Care Compare group NPD
• Elie Azar

  • Diagnostic Radiology Physician
  • Lewisberry, PA
  • NPI 1356321459
  Medicare reassignment Care Compare group NPD
• Patricia Barry-Lane, M,D,, PHD

  • Diagnostic Radiology Physician
  • Lewisberry, PA
  • NPI 1093938367

  MA

  Medicare reassignment Care Compare group NPD
• Shante D Bennett, MD

  • Vascular & Interventional Radiology Physician
  • Camp Hill, PA
  • NPI 1396081857
  Medicare reassignment Care Compare group NPD
• Christopher Bloomer

  • Diagnostic Radiology Physician
  • Lewisberry, PA
  • NPI 1023094943
  Medicare reassignment Care Compare group NPD
• Michelle Lee Cacek, D.O.

  • Diagnostic Radiology Physician
  • Johnstown, PA
  • NPI 1457572042
  Medicare reassignment Care Compare group NPD
• Daniel Case

  • Diagnostic Radiology Physician
  • Lewisberry, PA
  • NPI 1356549158
  Medicare reassignment Care Compare group NPD
• Loris Cedeno

  • Diagnostic Radiology Physician
  • Lewisberry, PA
  • NPI 1235223470
  Medicare reassignment Care Compare group NPD
• Neha Choksi

  • Diagnostic Radiology Physician
  • Natrona Heights, PA
  • NPI 1952500894
  Medicare reassignment Care Compare group NPD
• Brian R. Dobslaw, CRNP

  • Nurse Practitioner
  • Lancaster, PA
  • NPI 1255441226
  Medicare reassignment Care Compare group NPD
• Owen Dubbs, CRNP

  • Family Nurse Practitioner
  • York, PA
  • NPI 1104541614
  Medicare reassignment Care Compare group NPD
• Jonathan Enterline

  • Diagnostic Radiology Physician
  • Harrisburg, PA
  • NPI 1841421070
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1609863893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629D LOWTHER RD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399527",
            "telephone_number": "717-938-2765",
            "fax_number": "717-932-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629D LOWTHER RD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399527",
            "telephone_number": "717-938-2765",
            "fax_number": "717-932-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM IMAGING & THERAPEUTIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "BERGEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-932-5200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001617239",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Pennypacker
• Thomas John Pietras, DO
• Christoph Pohl, MD
• Paul Steven Potok, DO
• Kelechi Princewill
• Quantum Imaging & Therapeutic Associates, Inc
• Quantum Imaging and Therapeutic Associates, Inc.
• Quantum Pet LP
• Redcedar Family Practice, LLC
• Jared Richard Roberts, DO

• Diagnostic Radiology Physician in Lewisberry, PA
• Providers in Lewisberry, 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 May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.