Active NPI
South Shore Radiology Inc
- Diagnostic Radiology Physician
- Bellevue, OH
National Provider Identifier
1033170279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SOUTH SHORE RADIOLOGY INC
- Practice address
- 1400 Main Street
Bellevue, OH 44811-1028 - Phone
- (419) 483-4040
- Fax
- (419) 484-5411
- NPI assigned
- Mar 29, 2006
- Last updated
- Apr 20, 2008
- 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
- David V West, MD
- Title
- President
- Phone
- (419) 502-6731
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1400 Main Street
Bellevue, OH 44811-1028
Mailing address
PO Box 1800
Sandusky, OH 44871
Phone (419) 502-6731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC6547 | Other | RAILROAD MEDICARE |
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, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Bellevue, OH
- NPI 1457312084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1033170279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1800",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "44871",
"telephone_number": "419-502-6731",
"fax_number": "419-502-6732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MAIN STREET",
"city": "BELLEVUE",
"state": "OH",
"postal_code": "448111028",
"telephone_number": "419-483-4040",
"fax_number": "419-484-5411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SHORE RADIOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-502-6731",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC6547",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, OH
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.