JULIE RACHELLE KACZMARK MD
NPI 1124077029
Radiology - Diagnostic Radiology in Spokane, WA

NPI Status: Active since May 08, 2006

Contact Information

525 S COWLEY ST
SPOKANE, WA
ZIP 99202
Phone: (509) 747-4455
Fax: (509) 363-7064

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  • Individual
  • Female
  • Years of Experience 26
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About JULIE KACZMARK

This page provides the complete NPI Profile along with additional information for Julie Kaczmark, a provider established in Spokane, Washington with a medical specialization in Radiology, focusing in diagnostic radiology and more than 26 years of experience. She graduated from Saint Louis University School Of Medicine in 2000. The healthcare provider is registered in the NPI registry with number 1124077029 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0202X with license number MD00046269 (WA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1124077029
Provider Name
JULIE RACHELLE KACZMARK MD
Other Name
JULIE RACHELLE AKER MD
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
525 S COWLEY ST SPOKANE, WA 99202
Location Phone
(509) 747-4455
Location Fax
(509) 363-7064
Mailing Address
525 S COWLEY ST SPOKANE, WA 99202
Mailing Phone
(509) 747-4455
Mailing Fax
(509) 363-7064
Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
05-08-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
MD00046269
License State
WA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

L2782 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Focus Bronze POS? 205 - POS
  • Blue Focus Bronze POS? 705 - POS
  • Blue Focus Bronze POS? Standard - POS
  • Blue Focus Gold POS? 207 - POS
  • Blue Focus Gold POS? 902 - POS
  • Blue Focus Gold POS? Standard - POS
  • Blue Focus Silver POS? 206 - POS
  • Blue Focus Silver POS? 903 - POS
  • Blue Focus Silver POS? Standard - POS
  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? 204 - PPO
  • Blue Preferred Gold PPO? 901 - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? 203 - PPO
  • Blue Preferred Silver PPO? 308 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO
  • ACCESS BRONZE HDHP - PPO
  • ACCESS GOLD - PPO
  • ACCESS GOLD HDHP - PPO
  • ACCESS SILVER - PPO
  • ACCESS SILVER HDHP - PPO
  • Plus Bronze HDHP - PPO
  • Plus Gold HDHP - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
I53016MEDICARE UPIN (02)WA 

Medicare Participation & PECOS Enrollment Status

Julie Kaczmark is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Julie Kaczmark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8527079979

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060522000075, I20160201002064

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complete ultrasound scan behind abdominal cavity

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

This service was performed 25 times for 25 patients

Complete ultrasound scan of abdomen

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

This service was performed 11 times for 11 patients

Ct scan head or brain without contrast

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

This service was performed 193 times for 190 patients

Ct scan of abdomen and pelvis with contrast

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

This service was performed 216 times for 214 patients

Ct scan of abdomen and pelvis without contrast

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

This service was performed 199 times for 198 patients

Ct scan of blood vessels of abdomen and pelvis with contrast

A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.

This service was performed 11 times for 11 patients

Ct scan of blood vessels of chest with contrast

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

This service was performed 133 times for 133 patients

Ct scan of chest with contrast

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

This service was performed 46 times for 46 patients

Ct scan of chest without contrast

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

This service was performed 52 times for 52 patients

Ct scan of upper spine without contrast

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

This service was performed 75 times for 75 patients

Limited ultrasound scan of abdomen

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

This service was performed 63 times for 63 patients

Ultrasound of both sides of head and neck blood flow

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

This service was performed 60 times for 60 patients

Ultrasound study of arm or leg veins with compression and maneuvers

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

This service was performed 41 times for 41 patients

Ultrasound study of one arm or leg veins with compression and maneuvers

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

This service was performed 81 times for 80 patients

X-ray of abdomen, 1 view

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

This service was performed 58 times for 56 patients

X-ray of chest, 1 view

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

This service was performed 716 times for 665 patients

X-ray of chest, 2 views

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

This service was performed 111 times for 109 patients

X-ray of hip, 2-3 views

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

This service was performed 46 times for 46 patients

X-ray of knee, 1-2 views

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

This service was performed 12 times for 11 patients

X-ray of knee, 3 views

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

This service was performed 20 times for 19 patients

X-ray of lower and sacral spine, 2-3 views

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

This service was performed 11 times for 11 patients

X-ray of shoulder, minimum of 2 views

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

This service was performed 35 times for 33 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.07 for a new patient copayment and $17.82 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 99202 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.29
  • Minimum New Patient Price $57.27
  • Maximum New Patient Price $172.8
  • Average New Patient Copayment $22.07
  • Minimum New Patient Copayment $14.31
  • Maximum New Patient Copayment $43.2

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.29
  • Minimum Established Patient Price $18.56
  • Maximum Established Patient Price $141.11
  • Average Established Patient Copayment $17.82
  • Minimum Established Patient Copayment $4.64
  • Maximum Established Patient Copayment $35.27

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Julie Kaczmark is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST. PATRICK HOSPITAL500 W BROADWAY
MISSOULA, MT 59806
(406) 543-7271Acute Care Hospitals
PROVIDENCE ST MARY MEDICAL CENTER401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 522-5900Acute Care Hospitals
PROV SACRED HRT MED CTR & CHILDS HOSP.101 WEST 8TH AVENUE
SPOKANE, WA 99204
(509) 474-3040Acute Care Hospitals
KADLEC REGIONAL MEDICAL CENTER888 SWIFT BLVD
RICHLAND, WA 99352
(509) 946-4611Acute Care Hospitals
PROVIDENCE HOLY FAMILY HOSPITAL5633 NORTH LIDGERWOOD
SPOKANE, WA 99208
(509) 482-2450Acute Care Hospitals

Reviews for JULIE RACHELLE KACZMARK MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124077029
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144071404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 7 + 1 + 4 + 0 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1124077029 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770554859 RICHARD W CASEY MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1851352348INLAND IMAGING LLC
Organization
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1205898046 HALFORD B HOLTE MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1922060813 DON A CUBBERLEY MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1457313280 WILLIAM DAVID KEYES MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1275595001 MICHAEL D KIRSCH MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1336101997 RODNEY D RAABE MD
Individual
Radiology (Vascular & Interventional Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1174586762 GEORGE S GRABLE MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1548222136 KENNETH JOSEPH MCCABE MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1164485504 TRENT A SANDERS MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1871556282 XAVIER J ZIELINSKI MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1386607661 ISHWAR PRAVEEN BHAT MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1992768022 GARY V BELL MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1538122676 LESLIE K MANNING PAC
Individual
Physician Assistant (Medical)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1427011543 RICHARD S BRUNKAN MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1750344750 JOHN P ROMANO MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1316905094 SCOTT BRENNAN HOEFER MD
Individual
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1538108642 SCOTT H CARLETON MD
Individual
Radiology (Body Imaging)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455
1821198672 PAULA D THOMPSON PA-C
Individual
Physician Assistant525 S COWLEY ST
SPOKANE, WA 99202
(509) 363-7788
1770544512INLAND IMAGING ASSOCIATES PS
Organization
Radiology (Diagnostic Radiology)525 S COWLEY ST
SPOKANE, WA 99202
(509) 747-4455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124077029, enumerated in the NPI registry as an "individual" on May 08, 2006

The provider is located at 525 S Cowley St Spokane, Wa 99202 and the phone number is (509) 747-4455

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider has more than 26 years of experience. She graduated from Saint Louis University School Of Medicine in 2000.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Mountain. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $88.29 with an average copayment of $22.07 for new patient appointments. Established patients should expect a typical charge of $71.29 and an average copayment of 17.82. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Complete ultrasound scan behind abdominal cavity, Complete ultrasound scan of abdomen, Ct scan head or brain without contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of blood vessels of abdomen and pelvis with contrast, Ct scan of blood vessels of chest with contrast, Ct scan of chest with contrast, Ct scan of chest without contrast, Ct scan of upper spine without contrast, Limited ultrasound scan of abdomen, Ultrasound of both sides of head and neck blood flow, Ultrasound study of arm or leg veins with compression and maneuvers, Ultrasound study of one arm or leg veins with compression and maneuvers, X-ray of abdomen, 1 view, X-ray of chest, 1 view, X-ray of chest, 2 views, X-ray of hip, 2-3 views, X-ray of knee, 1-2 views, X-ray of knee, 3 views, X-ray of lower and sacral spine, 2-3 views and X-ray of shoulder, minimum of 2 views.

The practitioner is affiliated to the following hospital(s): ST. PATRICK HOSPITAL, PROVIDENCE ST MARY MEDICAL CENTER, PROV SACRED HRT MED CTR & CHILDS HOSP., KADLEC REGIONAL MEDICAL CENTER and PROVIDENCE HOLY FAMILY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.