Active NPI
Medical Imaging North PA
- Diagnostic Radiology Physician
- Hibbing, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MEDICAL IMAGING NORTH PA
- Practice address
- 2900 E Beltline
Hibbing, MN 55746-4504 - Phone
- (218) 312-3002
- NPI assigned
- Mar 27, 2007
- Last updated
- Nov 12, 2015
- 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
- Dr. Daniel Courneya, M.D.
- Title
- President
- Phone
- (218) 312-3005
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X |
Addresses
Primary practice location
2900 E Beltline
Hibbing, MN 55746-4504
Mailing address
1200 E 25TH St
Hibbing, MN 55746-3897
Phone (218) 312-3002
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69531ME | Other | MN | BLUE CROSS BLUE SHIELD |
| 782012700 | Medicaid | MN | |
| 103198 | Other | MN | UCARE |
| CD6182 | Other | MN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MN, FL, ND, VA
Enrollment records 5
National Provider Directory
National Provider DirectoryLocations
115 W Howard St
Hibbing, MN 55746
Phone (218) 262-3315
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
Practitioners & affiliated clinicians
Practitioners 6
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
- Hibbing, MN
- NPI 1891896239
-
- Diagnostic Radiology Physician
- Hibbing, MN
- NPI 1275634628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447286400000",
"number": "1043338171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E 25TH ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557463897",
"telephone_number": "218-312-3002",
"fax_number": "218-312-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 E BELTLINE",
"city": "HIBBING",
"state": "MN",
"postal_code": "557464504",
"telephone_number": "218-312-3002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL IMAGING NORTH PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2015-11-12",
"status": "A",
"authorized_official_last_name": "COURNEYA",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "218-312-3005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "69531ME",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "782012700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "103198",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CD6182",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.