Active NPI
Washington Imaging LLC
- Diagnostic Radiology Physician
- Washington, IN
National Provider Identifier
1124196241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01048180
- Legal business name
- WASHINGTON IMAGING LLC
- Practice address
- 1314 E Walnut St
Washington, IN 47501-2860 - Phone
- (812) 254-2760
- Fax
- (812) 882-8620
- NPI assigned
- Nov 30, 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
- Eung Man Cha, M.D.
- Title
- Gen PTR
- Phone
- (812) 254-2760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01048180 | IN | Primary |
Addresses
Primary practice location
1314 E Walnut St
Washington, IN 47501-2860
Mailing address
PO Box 701
Washington, IN 47501-0701
Phone (812) 254-2760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200114270A | Medicaid | IN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nuclear Radiology Physician
- Monmouth, IL
- NPI 1417944406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286496000000",
"number": "1124196241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 701",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475010701",
"telephone_number": "812-254-2760",
"fax_number": "812-882-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 E WALNUT ST",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475012860",
"telephone_number": "812-254-2760",
"fax_number": "812-882-8620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2010-10-08",
"status": "A",
"authorized_official_last_name": "CHA",
"authorized_official_first_name": "EUNG",
"authorized_official_middle_name": "MAN",
"authorized_official_title_or_position": "GEN PTR",
"authorized_official_telephone_number": "812-254-2760",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01048180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200114270A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.