National Imaging, LTD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

04-14664 Issued in KS

Legal business name

NATIONAL IMAGING, LTD

Practice address

4713 N Portwest Cir
Wichita, KS 67204-2356

Phone

(316) 729-5517

Fax

(316) 729-5655

NPI assigned

Jan 19, 2007

Last updated

Oct 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul L Rodriguez, M.D.NPI 1841209236

Title

Owner

Phone

(316) 729-5517

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Paul L Rodriguez, MD

  • Diagnostic Radiology Physician
  • Wichita, KS
  • NPI 1841209236
  Authorized official Same address or phone

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1073666236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 N PORTWEST CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672042356",
            "telephone_number": "316-729-5517",
            "fax_number": "316-729-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 N PORTWEST CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672042356",
            "telephone_number": "316-729-5517",
            "fax_number": "316-729-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL IMAGING, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-729-5517",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-14664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS BCBS GROUP #",
            "identifier": "0000111205",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200041060A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Diagnostic Radiology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.