Radiologic Medical Services PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RADIOLOGIC MEDICAL SERVICES PC

Practice address

2769 Heartland Dr Ste 105
Coralville, IA 52241-2732

Phone

(319) 545-7310

Fax

(319) 545-7314

NPI assigned

May 17, 2006

Last updated

Sep 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James A. Wiese, M.D.NPI 1588610661

Title

Medical Doctor

Phone

(319) 545-7310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, AZ, WA, MA, NE, NV, CA, UT, DC, FL, TX, OK, CO, OR, OH, TN, NY17 enrollments

Enrollment records 17

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Radiologic Medical Services, Pro Corp

  dba Muscatine Radiology, PC

  • Diagnostic Radiology Physician
  • Muscatine, IA
  • NPI 1659466126

  O20040310000805

  Same enrollment

Tax ID family

Radiologic Medical Services PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Radiologic Medical Services, Pro Corp

  dba Muscatine Radiology, PC

  • Diagnostic Radiology Physician
  • Muscatine, IA
  • NPI 1659466126
  NPD tax ID

Locations

Practitioners 43

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.

• Thomas D Berg, M.D.

  • Diagnostic Radiology Physician
  • Iowa City, IA
  • NPI 1134175219
  Medicare reassignment Care Compare group NPD
• Shane Arthur Kraske, M.D.

  • Diagnostic Radiology Physician
  • Coralville, IA
  • NPI 1568419604
  Medicare reassignment Care Compare group NPD
• Dean Alexander McNaughton, M.D.

  • Vascular & Interventional Radiology Physician
  • Coralville, IA
  • NPI 1790762672

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Jared Wynn Nelson, M.D.

  • Diagnostic Radiology Physician
  • Coralville, IA
  • NPI 1235455056
  Medicare reassignment Care Compare group NPD
• Colin James O'Brien, M.D.

  • Diagnostic Radiology Physician
  • Coralville, IA
  • NPI 1134173016
  Medicare reassignment Care Compare group NPD
• Aminata Traore, MD

  • Diagnostic Radiology Physician
  • Coralville, IA
  • NPI 1619256823
  Medicare reassignment Care Compare group NPD
• Scott Michael Truhlar, M.D.

  • Diagnostic Radiology Physician
  • Coralville, IA
  • NPI 1326095704

  OR

  Medicare reassignment Care Compare group NPD
• Matthew Dulles Bourne, DO

  • Diagnostic Radiology Physician
  • Silver Spring, MD
  • NPI 1619437779

  DC

  Medicare reassignment Care Compare group NPD
• Kathryn Cambron, MD

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1396749867

  WA

  Medicare reassignment Care Compare group NPD
• Eugene P Chung, M.D.

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1528030525

  AZ

  Medicare reassignment Care Compare group NPD
• Andrew Michael Ciccarelli, M.D.

  • Diagnostic Radiology Physician
  • Northampton, MA
  • NPI 1407893738
  Medicare reassignment Care Compare group NPD
• Nidal I Dabbasi, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1609867464
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1023061702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 OAKDALE BLVD STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419747",
            "telephone_number": "319-545-7310",
            "fax_number": "319-626-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 HEARTLAND DR STE 105",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412732",
            "telephone_number": "319-545-7310",
            "fax_number": "319-545-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGIC MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "319-545-7310",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Stephanie L Proud, RDN LD CNSC
• Susan C Puhl, M.D.
• Queenyee Family Medicine Clinic
• Nicole Quinn, T-LMHC
• Cassie Rose Raasch, LMSW
• Troy Allen Raymer, LISW
• Grace Ray Raymond
• Annastatia Rebal, AUD
• Venugopal S Reddiar, MD
• Tessa Calla Reed, MA, TLMHC

• Diagnostic Radiology Physician in Coralville, IA
• Providers in Coralville, IA by specialty
• Diagnostic Radiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.