Walnut Valley Imaging PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

WALNUT VALLEY IMAGING PA

Practice address

817 Main St
Winfield, KS 67156-2834

Phone

(620) 441-5788

NPI assigned

Mar 29, 2006

Last updated

May 6, 2008By 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

Neil Rosenquist, MD

Title

President

Phone

(620) 441-5788

Specialties & licenses 3

Addresses

Other identifiers 5

Practitioners 3

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.

• Timothy M Gronlie, M.D.

  • Vascular & Interventional Radiology Physician
  • Wichita, KS
  • NPI 1720007404

  Diagnostic Radiology

  NPD (past)
• Eddy Lucas, M.D.

  • Diagnostic Radiology Physician
  • Wichita, KS
  • NPI 1205832698

  Body Imaging

  NPD (past)
• Cornell Overbeeke, M.D.

  • Diagnostic Radiology Physician
  • Gulf Breeze, FL
  • NPI 1881793818

  Body Imaging

  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1083675227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47309",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017309",
            "telephone_number": "316-685-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MAIN ST",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562834",
            "telephone_number": "620-441-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT VALLEY IMAGING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "ROSENQUIST",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-441-5788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200046910A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "201910946001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200385950A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504467606",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "111117",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Voth
• Stacy L Wagner, PA-C
• Wal-Mart Stores, Inc. Dba Wal-Mart (Vision Center 30-0369)
• Walmart Inc. (Walmart Pharmacy 10-0369)
• Walnut Valley Foot and Ankle PA
• Lynnetta F Ward, ARNP
• Earnest Marcel Wash
• Anthony J Watkins, DDS
• Amanda Watson, LAT, ATC
• Jayne Ann Watters, C.O.

• Diagnostic Radiology Physician in Winfield, KS
• Providers in Winfield, 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 May 6, 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.