NPIMap

Organization Active NPI

Salem Flora Radiology, S.C.

  • Diagnostic Radiology Physician
  • Salem, IL
National Provider Identifier
1013046366
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SALEM FLORA RADIOLOGY, S.C.
Practice address
815 W Main St
Salem, IL 62881-1408
Phone
(618) 548-2843
Fax
(618) 548-2896
NPI assigned
Mar 5, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Preecha Tawjareon, M.D.NPI 1386773604
Title
Owner, President
Phone
(618) 548-2843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X IL Primary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X IL

Addresses

Primary practice location

815 W Main St
Salem, IL 62881-1408

Mailing address

815 W Main St
P.O. Box 875
Salem, IL 62881-1408
Phone (618) 548-2843

National Provider Directory

National Provider Directory

Locations

815 W Main St
Salem, IL 62881
Phone (618) 548-2843

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1013046366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W MAIN ST",
            "address_2": "P.O. BOX 875",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811408",
            "telephone_number": "618-548-2843",
            "fax_number": "618-548-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W MAIN ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811408",
            "telephone_number": "618-548-2843",
            "fax_number": "618-548-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM FLORA RADIOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TAWJAREON",
        "authorized_official_first_name": "PREECHA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "618-548-2843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.