NPIMap

Organization Active NPI

Scott Radiological Group Inc

  • Diagnostic Radiology Physician
  • Festus, MO
National Provider Identifier
1063445096
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SCOTT RADIOLOGICAL GROUP INC
Practice address
1420 Highway 61 South
Festus, MO 63028-4108
Phone
(314) 647-2344
Fax
(314) 647-5108
NPI assigned
Jul 10, 2006
Last updated
Aug 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
James A Junker, M. D.
Title
President and Ceo
Phone
(314) 647-2344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1420 Highway 61 South
Festus, MO 63028-4108

Mailing address

2344 Hampton Ave
Saint Louis, MO 63139-2909
Phone (314) 647-2344

Other identifiers 4

IdentifierTypeStateIssuer
27716V27716OtherMOGROUP HEALTH PLAN
194361OtherMOBLUE CROSS BLUE SHIELD
CP4241OtherMORAILROAD MEDICARE
500875703MedicaidMO

National Provider Directory

National Provider Directory

Locations

1034 S Brentwood Blvd
Ste 280
Saint Louis, MO 63117
Phone (314) 727-0012

2344 Hampton Ave
Saint Louis, MO 63139
Phone (314) 647-2344

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1063445096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 HAMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631392909",
            "telephone_number": "314-647-2344",
            "fax_number": "314-647-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 HIGHWAY 61 SOUTH",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284108",
            "telephone_number": "314-647-2344",
            "fax_number": "314-647-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT RADIOLOGICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "JUNKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "314-647-2344",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "27716V27716",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "194361",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP4241",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500875703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.