Organization Active NPI

David L. Nadolski MD P.C.

  • Radiology Clinic/Center
  • Midland, MI
National Provider Identifier
1083652135
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
26785 Issued in MI
Legal business name
DAVID L. NADOLSKI MD P.C.
Practice address
5912 Eastman Ave
Midland, MI 48640-6839
Phone
(989) 832-6400
Fax
(989) 832-3663
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Dr. David Leonard Nadolski, M.D.
Title
President
Phone
(989) 832-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 26785 MI Primary

Addresses

Primary practice location

5912 Eastman Ave
Midland, MI 48640-6839

Mailing address

5912 Eastman Ave
Midland, MI 48640-6839
Phone (989) 832-6400

Other identifiers 5

IdentifierTypeStateIssuer
110E610541OtherMIBLUE CARE NETWORK
01002151OtherHEALTH PLUS
103254131MedicaidMI
611920000OtherUS DOL
110125037OtherRAILROAD MEDICARE

Other names 1

  • NuBONES OSTEOPOROSIS CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

5916 Eastman Ave
Ste C
Midland, MI 48640
Phone (989) 839-8799

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1083652135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406839",
            "telephone_number": "989-832-6400",
            "fax_number": "989-832-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406839",
            "telephone_number": "989-832-6400",
            "fax_number": "989-832-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. NADOLSKI MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "NADOLSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-832-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MI",
            "license": "26785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "110E610541",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "01002151",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103254131",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL",
            "identifier": "611920000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110125037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuBONES OSTEOPOROSIS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.