Provider Demographics
NPI:1932107257
Name:GREATER WASHINGTON RADIOLOGISTS, INC.
Entity Type:Organization
Organization Name:GREATER WASHINGTON RADIOLOGISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-225-7000
Mailing Address - Street 1:PO BOX 951847
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0020
Mailing Address - Country:US
Mailing Address - Phone:866-338-6471
Mailing Address - Fax:
Practice Address - Street 1:155 WILSON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3336
Practice Address - Country:US
Practice Address - Phone:724-225-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2629034Medicaid
OH2629043Medicaid
PACF4237OtherRAILROAD MEDICARE
OH2628982Medicaid
OH2628991Medicaid
OH2629016Medicaid
OH2629025Medicaid
PA0009164490010Medicaid
OH2612640Medicaid
PA000428944OtherBC BS
OH2629052Medicaid
OH2628964Medicaid
OH2628964Medicaid