St. Croix Radiology Consultants, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

28524 Issued in MN

Legal business name

ST. CROIX RADIOLOGY CONSULTANTS, LLC

Practice address

927 Churchill St W
Stillwater, MN 55082-6605

Phone

(651) 430-4617

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven D Johnson, MDNPI 1053390849

Title

Owner

Phone

(651) 429-7026

Specialties & licenses 1

Addresses

Practitioners 2

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

• Steven D Johnson, MD

  • Diagnostic Radiology Physician
  • Stillwater, MN
  • NPI 1053390849
  NPD (past) Authorized official
• Robert D Lefsrud, MD

  • Diagnostic Radiology Physician
  • Rice Lake, WI
  • NPI 1144208273
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053364570",
    "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": "927 CHURCHILL ST W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826605",
            "telephone_number": "651-430-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CROIX RADIOLOGY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "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": "651-429-7026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MN",
            "license": "28524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer St Sauver
• St. Croix Dermatology, PA
• St. Croix Orthopaedics, P.a.
• St. Croix Orthopaedics, P.a.
• St. Croix Preparatory Academy
• St. Croix Valley Dental, PLLC
• St. Croix Valley Dental, PLLC
• Nicholas St. Ores, M.D.
• Kathleen K St. Peters, PT
• Nicole A Stack

• Radiology Clinic/Center in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Radiology Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.