Organization Active NPI

Washington Imaging LLC

  • Diagnostic Radiology Physician
  • Washington, IN
National Provider Identifier
1124196241
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01048180 Issued in IN
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

Updated by the provider on Oct 8, 2010

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200114270AMedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.