Active NPI
McNamara, Visconti & Associates PLC
- Diagnostic Radiology Physician
- Gaylord, MI
National Provider Identifier
1104864867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MCNAMARA, VISCONTI & ASSOCIATES PLC
- Practice address
- 2922 D and M Dr
Gaylord, MI 49735-7417 - Phone
- (989) 705-1100
- Fax
- (989) 705-1104
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Visconti, M.D.
- Title
- Owner
- Phone
- (989) 705-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
2922 D and M Dr
Gaylord, MI 49735-7417
Mailing address
PO Box 428
Cadillac, MI 49601-0428
Phone (231) 775-6076
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104864867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496010428",
"telephone_number": "231-775-6076",
"fax_number": "231-775-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922 D AND M DR",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497357417",
"telephone_number": "989-705-1100",
"fax_number": "989-705-1104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCNAMARA, VISCONTI & ASSOCIATES PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VISCONTI",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-705-1100",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.