Woodland Imaging Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

WOODLAND IMAGING CENTER LLC

Doing business as

Avant Imaging

Practice address

7575 Grand River Ave
Ste 103
Brighton, MI 48114-9309

Phone

(734) 712-8350

NPI assigned

May 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Joseph Fugenschuh, MD

Title

Medical Director

Phone

(734) 712-8350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Avant Imaging Doing business as

Locations

Practitioners 2

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

• Gary T Augustyn, M.D.

  • Diagnostic Radiology Physician
  • Ypsilanti, MI
  • NPI 1932151701
  NPD (past)
• David E Baker, M.D.

  • Diagnostic Radiology Physician
  • Ypsilanti, MI
  • NPI 1740232511
  NPD (past)

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1053362228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 GRAND RIVER AVE",
            "address_2": "STE 103",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149309",
            "telephone_number": "734-712-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 GRAND RIVER AVE",
            "address_2": "STE 103",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149309",
            "telephone_number": "734-712-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "FUGENSCHUH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "734-712-8350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00350162",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avant Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Lauren Wittla, LLMSW
• Donna Kallio Wolbers, PA-C
• Andrew Wood, MD
• Chelsey Wood, AT, PTA
• Woodland Ambulatory Surgery
• Woodland Lake Family Dental, PLLC
• Woodward Detroit CVS LLC
• Woodward Detroit CVS, L.L.C.
• Work Skills Corporation
• Work Skills Corporation

• Radiology Clinic/Center in Brighton, MI
• Providers in Brighton, MI by specialty
• Radiology Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.