Advanced Radiology LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ADVANCED RADIOLOGY LLC

Practice address

1037 Palisades Blvd
Suite 7
Osage Beach, MO 65065-3340

Phone

(573) 746-7010

Fax

(573) 746-7011

NPI assigned

Dec 22, 2006

Last updated

Feb 27, 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

Greg Johnson

Title

Cfo

Phone

(573) 442-1788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Samir S Ashraf, D.O.

  • Diagnostic Radiology Physician
  • Columbia, MO
  • NPI 1912138926
  Medicare reassignment Care Compare group NPD
• Neal R Meyer, M.D.

  • Diagnostic Radiology Physician
  • Columbia, MO
  • NPI 1013921667
  Medicare reassignment Care Compare group NPD
• Michael T. Butterfield, M.D.

  • Diagnostic Radiology Physician
  • Southfield, MI
  • NPI 1770815193

  MO

  Medicare reassignment Care Compare group NPD
• Mark H Monroe, M.D.

  • Diagnostic Radiology Physician
  • Columbia, MO
  • NPI 1740294396
  Medicare reassignment NPD
• Adam Clay Patterson, MD

  • Diagnostic Radiology Physician
  • Jefferson City, MO
  • NPI 1912013582
  NPD (past)
• Jamey D. Wright, M.D.

  • Diagnostic Radiology Physician
  • Columbia, MO
  • NPI 1225003395
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1093870982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016623",
            "telephone_number": "573-442-1788",
            "fax_number": "573-442-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 PALISADES BLVD",
            "address_2": "SUITE 7",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653340",
            "telephone_number": "573-746-7010",
            "fax_number": "573-746-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-442-1788"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.