NPIMap

Organization Active NPI

Diagnostic Imaging Consultants Inc.

  • Diagnostic Radiology Physician
  • Greenville, PA
National Provider Identifier
1841264405
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DIAGNOSTIC IMAGING CONSULTANTS INC.
Practice address
110 N Main St
Greenville, PA 16125-1726
Phone
(724) 588-2100
NPI assigned
Feb 13, 2006
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mr. Constantine Petrochko, MDNPI 1881668440
Title
Authorized Offician
Phone
(724) 588-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

110 N Main St
Greenville, PA 16125-1726

Mailing address

PO Box 73985
Cleveland, OH 44193-0002
Phone (866) 338-6467

Other identifiers 4

IdentifierTypeStateIssuer
0011394260023MedicaidPA
0712812MedicaidOH
000000158604OtherOHBC BS
151892OtherPABC BS

National Provider Directory

National Provider Directory

Locations

12 N Diamond St
Greenville, PA 16125
Phone (724) 588-8660

163 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 342-2553

737 Greenville Rd
Mercer, PA 16137
Phone (724) 662-2650

565 W Neshannock Ave
New Wilmngtn, PA 16142
Phone (724) 946-3313

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1841264405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73985",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930002",
            "telephone_number": "866-338-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251726",
            "telephone_number": "724-588-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC IMAGING CONSULTANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "PETROCHKO",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAN",
        "authorized_official_telephone_number": "724-588-2100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011394260023",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0712812",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "000000158604",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "151892",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.