Suburban Radiology Limi

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

34006305C Issued in OH

Legal business name

SUBURBAN RADIOLOGY LIMI

Practice address

10655 Washingtonville Rd
Canfield, OH 44406-9448

Phone

(330) 726-6010

Fax

(330) 726-6017

NPI assigned

May 13, 2006

Last updated

Oct 15, 2007By 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

Adam G Crouch, DONPI 1194833343

Title

Owner

Phone

(330) 726-6010

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Adam G Crouch, D.O.

  • Diagnostic Radiology Physician
  • Youngstown, OH
  • NPI 1194833343
  Authorized official Same address or phone

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1033160197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14280",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445147280",
            "telephone_number": "330-726-6010",
            "fax_number": "330-726-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10655 WASHINGTONVILLE RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069448",
            "telephone_number": "330-726-6010",
            "fax_number": "330-726-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN RADIOLOGY LIMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-726-6010",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34006305C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Stanovcak, RN
• Mark Stein, BCBA
• Gina Marie Stephenson
• Connie Stewart, LPN
• Douglas James Styka, D.D.S.
• Nicole Lee Sudia, INDEPENDENT PROVIDER
• Debra Rae Suffolk, M.A., CCC-SLP
• Logan N Sullivan, RD LDN
• Surgery Center of Canfield, LLC
• Robin Suzelis

• Diagnostic Radiology Physician in Canfield, OH
• Providers in Canfield, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.