Active NPI
MVP Imaging PLC
- Diagnostic Radiology Physician
- Petoskey, MI
National Provider Identifier
1003853144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MVP IMAGING PLC
- Practice address
- 1114 Charlevoix Ave
Petoskey, MI 49770-9701 - Phone
- (231) 439-9700
- Fax
- (231) 439-9709
- NPI assigned
- May 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Visconti, M.D.
- Title
- Owner
- Phone
- (231) 439-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1114 Charlevoix Ave
Petoskey, MI 49770-9701
Mailing address
1114 Charlevoix Ave
Petoskey, MI 49770-9701
Phone (231) 439-9700
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Port Charlotte, FL
- NPI 1083704845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265760000000",
"number": "1003853144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 CHARLEVOIX AVE",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497709701",
"telephone_number": "231-439-9700",
"fax_number": "231-439-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 CHARLEVOIX AVE",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497709701",
"telephone_number": "231-439-9700",
"fax_number": "231-439-9709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MVP IMAGING PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2010-02-10",
"status": "A",
"authorized_official_last_name": "VISCONTI",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-439-9700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.