Mid American Imaging, Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

02220180040 Issued in OH

Legal business name

MID AMERICAN IMAGING, INC.

Practice address

1400 E 2ND St
Defiance, OH 43512-2440

Phone

(419) 783-3239

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Rhonda Longmore Grund

Title

Exec VP & Cfo

Phone

(800) 544-3215

Specialties & licenses 1

Addresses

Other identifiers 10

Locations

Practitioners 1

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

• Michael L. Pryce, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Cortland, NY
  • NPI 1972501682
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1073553582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BAYVIEW CIRCLE",
            "address_2": "SUITE 400",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602984",
            "telephone_number": "800-544-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122440",
            "telephone_number": "419-783-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICAN IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "LONGMORE GRUND",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "EXEC VP & CFO",
        "authorized_official_telephone_number": "800-544-3215"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "OH",
            "license": "02220180040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED FOCUS RADIOLOGY NETWO",
            "identifier": "20043",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS OF OHIO",
            "identifier": "000000268775",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "104395",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2284184",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDFOCUS RADIOLOGY NETWOR",
            "identifier": "26308",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMM HEALTH PLAN",
            "identifier": "731337",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED FOCUS RADIOLOGY NETWO",
            "identifier": "23752",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS/US DEPT OF LABOR",
            "identifier": "366270200",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS OF OHIO",
            "identifier": "000000166606",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2154823",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy T Meyer, PT
• Carli Meyer, M.A., CCC-SLP
• Katelyn Meyer, ED.S.
• Sheila R. Meyer, MS,CCC-A
• Sonja Michaelis, LMT
• Midwest Cardiovascular Consultants LLC
• Amber Lynn Miller
• Annette Jo Miller, L.M.T.
• Dawn Miller, LPCC/LCDC
• Elijah Miller, PT

• All providers in Defiance, OH
• Mobile Radiology Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.