Magnetic Resonance Services PTR

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

MAGNETIC RESONANCE SERVICES PTR

Practice address

1010 4TH St SW
Suite 100
Mason City, IA 50401-2857

Phone

(641) 424-0102

Fax

(641) 424-8059

NPI assigned

May 17, 2006

Last updated

Dec 29, 2011By 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

Timothy John Lucas, M.D.NPI 1740233428

Title

President

Phone

(641) 424-0102

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Health Services-Iowa Corp.

  • Community/Retail Pharmacy
  • Mason City, IA
  • NPI 1962591370

  Member Of

  NPD member

Locations

Practitioners 6

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 John Lucas, M.D.

  • Diagnostic Radiology Physician
  • Mason City, IA
  • NPI 1740233428
  Authorized official Same address or phone
• Jackson Herzog

  • Diagnostic Radiology Physician
  • Mason City, IA
  • NPI 1033501010
  NPD
• Joseph J Ocel, M.D.

  • Diagnostic Radiology Physician
  • Mason City, IA
  • NPI 1780661280
  NPD
• Ryan L Smith, M.D.

  • Diagnostic Radiology Physician
  • Mason City, IA
  • NPI 1356328314
  NPD
• Robert E Berg, MD

  • Diagnostic Radiology Physician
  • Mason City, IA
  • NPI 1366497943
  NPD (past)
• Brad Allen Janson, M.D.

  • Diagnostic Radiology Physician
  • Mason City, IA
  • NPI 1497709372
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1093767113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 6TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014818",
            "telephone_number": "641-424-0102",
            "fax_number": "641-424-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 4TH ST SW",
            "address_2": "SUITE 100",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012857",
            "telephone_number": "641-424-0102",
            "fax_number": "641-424-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNETIC RESONANCE SERVICES PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-424-0102",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0288787",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IA",
            "identifier": "34523",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Lea Lyman, BS
• Paul S Macgregor, DO
• Tavi J Madden-Leduc, DO
• Andrea Kay Madrigal
• Joan K Maertens, RD,LD
• Mark A Mahoney, M.D.
• Jovana Majstorovic, RPH
• Adel F Makar, MD
• Angela Kay Malfero
• Heather Malmin, MA-CCC-SLP

• Magnetic Resonance Imaging (MRI) Clinic/Center in Mason City, IA
• Providers in Mason City, IA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.