Active NPI
Clinical Radiologists, S.C.
- Diagnostic Radiology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CLINICAL RADIOLOGISTS, S.C.
- Practice address
- 701 N 1St St
Springfield, IL 62781-0001 - Phone
- (217) 788-3245
- NPI assigned
- May 31, 2006
- Last updated
- Apr 8, 2021
- 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
- Ryan Watson, MD
- Title
- Authorized Official
- Phone
- (217) 789-7743
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
701 N 1St St
Springfield, IL 62781-0001
Mailing address
2040 W Iles Ave
Suite C
Springfield, IL 62704-4662
Phone (217) 789-7743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG2701 | Other | IL | RAILROAD MEDICAR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA, TX, MO, FL, IN, CA, MI, KY, DC, OH, SC, WA, NH, GA, VA, UT
Enrollment records 17
National Provider Directory
National Provider DirectoryLocations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
340 W Miller St
Fl 1
Springfield, IL 62702
Phone (217) 789-0416
4133 Old Jacksonville Rd
Springfield, IL 62711
944 N 1st St
Springfield, IL 62702
Phone (217) 544-3683
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
1325 Boland Pl
Apt 4026
Richmond Heights, MO 63117
8500 Maryland Ave
Saint Louis, MO 63124
Practitioners & affiliated clinicians
Practitioners 86
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
- Springfield, IL
- NPI 1538272547
-
- Diagnostic Radiology Physician
- Springfield, IL
- NPI 1548202757
FL, IA, IN, MO
-
- Diagnostic Radiology Physician
- Rochester, NH
- NPI 1174514509
IL, MO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617840000000",
"number": "1063469252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 W ILES AVE",
"address_2": "SUITE C",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044662",
"telephone_number": "217-789-7743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 1ST ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627810001",
"telephone_number": "217-788-3245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL RADIOLOGISTS, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "217-789-7743",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICAR",
"identifier": "CG2701",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.