NPIMap

Organization Active NPI

Kurt O Doggwiler MD PHD LTD

  • Diagnostic Radiology Physician
  • Elko, NV
National Provider Identifier
1104927300
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9000 Issued in NV
Legal business name
KURT O DOGGWILER MD PHD LTD
Practice address
2001 Errecart Blvd
Elko, NV 89801-8333
Phone
(775) 748-2037
Fax
(775) 748-2288
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Kurt O Doggwiler, M.D.
Title
Owner
Phone
(775) 884-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 9000 NV Primary

Addresses

Primary practice location

2001 Errecart Blvd
Elko, NV 89801-8333

Mailing address

PO Box 21609
Carson City, NV 89721-1609
Phone (775) 884-2455

Other identifiers 1

IdentifierTypeStateIssuer
1104927300MedicaidNV

Other names 1

  • Northeastern Nevada Imaging Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1995 Errecart Blvd
Ste 208
Elko, NV 89801
Phone (775) 738-4400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1104927300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21609",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897211609",
            "telephone_number": "775-884-2455",
            "fax_number": "775-884-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ERRECART BLVD",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018333",
            "telephone_number": "775-748-2037",
            "fax_number": "775-748-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT O DOGGWILER MD PHD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "DOGGWILER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-884-2455",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "9000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104927300",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeastern Nevada Imaging Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.