Advanced Diagnostic Imaging, PC
NPI 1417571498ActiveOrganization· Podiatrist· Hendersonville, TN
Podiatrist in Hendersonville, Tennessee, registered in NPPES in June 2020. The authorized official on file is Susan Fenton, Credentialing Manager. Enrolled in Medicare as dme supplier - physician - podiatry.
Overview
| NPI | 1417571498 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2020 |
| Last updated in NPPES | Jun 4, 2020 |
| Certified by provider | Jun 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (TN) |
|---|
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