NPIMap

Organization Active NPI

Ohio Diagnostic Imaging Inc.

  • Nuclear Radiology Physician
  • Shaker Heights, OH
National Provider Identifier
1003090994
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
Legal business name
OHIO DIAGNOSTIC IMAGING INC.
Practice address
19 Lyman Cir
Shaker Heights, OH 44122-2110
Phone
(216) 403-6515
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James O'Donnell, MD
Title
President
Phone
(216) 403-6515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085N0904X Primary

Addresses

Primary practice location

19 Lyman Cir
Shaker Heights, OH 44122-2110

Mailing address

PO Box 24036
Pepper Pike, OH 44124-0036
Phone (866) 494-8260

National Provider Directory

National Provider Directory

Locations

11201 Shaker Blvd
Ste 204
Cleveland, OH 44104
Phone (216) 290-6447

147 Schoolhouse Ln
Columbus, OH 43228
Phone (614) 996-8011

4176 Kelnor Dr
Grove City, OH 43123
Phone (614) 317-0022

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1003090994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24036",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441240036",
            "telephone_number": "866-494-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LYMAN CIR",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222110",
            "telephone_number": "216-403-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO DIAGNOSTIC IMAGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-403-6515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.