Provider Demographics
NPI:1538133293
Name:PROGRESSIVE RADIOLOGY OF OHIO INC
Entity Type:Organization
Organization Name:PROGRESSIVE RADIOLOGY OF OHIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:VALENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-429-5429
Mailing Address - Street 1:PO BOX 1066
Mailing Address - Street 2:501 N MAIN ST
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45839
Mailing Address - Country:US
Mailing Address - Phone:419-422-4058
Mailing Address - Fax:419-424-0553
Practice Address - Street 1:145 W WALLACE ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1239
Practice Address - Country:US
Practice Address - Phone:419-423-5429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2461670Medicaid
OH000000324315OtherANTHEM
OH2461670Medicaid
OH=========00OtherBWC
OHPR9342281Medicare ID - Type Unspecified