Provider Demographics
NPI:1609816974
Name:C & E RADIOLOGISTS PC
Entity Type:Organization
Organization Name:C & E RADIOLOGISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:B
Authorized Official - Last Name:NEWCOMER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:724-226-4510
Mailing Address - Street 1:7 ACEE DRIVE
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065
Mailing Address - Country:US
Mailing Address - Phone:800-223-5544
Mailing Address - Fax:724-294-3206
Practice Address - Street 1:406 W OAK STREET
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16354
Practice Address - Country:US
Practice Address - Phone:814-827-1851
Practice Address - Fax:724-226-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
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
1011278940001OtherMEDICAL ASST
PA1011278940001Medicaid
352438OtherHEALTH AMERICA
1624770OtherHIGHMARK GROUP #
DC0269OtherRR MEDICARE
352438OtherHEALTH AMERICA
=========00OtherOHIO BUREAU OF WC