Voyageur Radiology LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

28524 Issued in MN

Legal business name

VOYAGEUR RADIOLOGY LLC

Practice address

9975 Dellwood Rd N
Stillwater, MN 55082-9425

Phone

(651) 429-7026

NPI assigned

May 26, 2008

Organization subpart

No

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

Authorized official

Name

Steven D Johnson, MD

Title

Owner

Phone

(651) 492-5877

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay Radhakrishnan, M.D.

  • Vascular & Interventional Radiology Physician
  • The Woodlands, TX
  • NPI 1245266972

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1043478159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9975 DELLWOOD RD N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829425",
            "telephone_number": "651-429-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 DELLWOOD RD N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829425",
            "telephone_number": "651-429-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOYAGEUR RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-26",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-492-5877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "28524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Louis Virant, MD
• Vision World Inc (Vision World)
• Visionworks, Inc. (Visionworks)
• Jesse Vislisel, M.D.
• Leah Vizenor
• Sheri Vrieze, LADC
• Cheryl Vukmanich, NP-C
• Lily K Wagner
• Jessica Mary Waks, C.N.P.
• Barbara Walker, PSY.D., LP

• Diagnostic Radiology Physician in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.