Active NPI
Advanced Imaging S.C.
- Radiology Clinic/Center
- Sturgeon Bay, WI
National Provider Identifier
1073592473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- ADVANCED IMAGING S.C.
- Practice address
- 228 S 18TH Ave
Sturgeon Bay, WI 54235-1000 - Phone
- (920) 746-9729
- Fax
- (920) 746-9881
- NPI assigned
- Jan 13, 2006
- 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
- Kurt G Harris, M.D.
- Title
- President
- Phone
- (920) 746-9729
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 |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
228 S 18TH Ave
Sturgeon Bay, WI 54235-1000
Mailing address
228 S 18TH Ave
Sturgeon Bay, WI 54235-1000
Phone (920) 746-9729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32877400 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
228 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 746-3788
1715 Rhode Island St
Sturgeon Bay, WI 54235
Phone (920) 256-9099
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Sturgeon Bay, WI
- NPI 1902859721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073592473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 S 18TH AVE",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351000",
"telephone_number": "920-746-9729",
"fax_number": "920-746-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 S 18TH AVE",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351000",
"telephone_number": "920-746-9729",
"fax_number": "920-746-9881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED IMAGING S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "KURT",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-746-9729",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32877400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sturgeon Bay, WI
Sources for this page
- 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.