Active NPI
Ronald S Rankin, M.D.
- Diagnostic Radiology Physician
- Murray, UT
National Provider Identifier
1134176241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 153011-1205
- Practice address
- 5444 Green St
Murray, UT 84123-5632 - Phone
- (801) 284-1702
- Fax
- (801) 262-3897
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 153011-1205 | UT | Primary |
| Diagnostic Radiology Physician | 2085R0202X | M-3007 | ID |
Addresses
Primary practice location
5444 Green St
Murray, UT 84123-5632
Mailing address
5444 Green St
Murray, UT 84123-5632
Phone (801) 284-1702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04393 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-3007 | ID | MD | Diagnostic Radiology Physician |
| 153011-1205 | UT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Diagnostic Radiology | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Deaconess Radiology Service
- Diagnostic Radiology Physician
- Glasgow, MT
- NPI 1013021500
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1134176241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5444 GREEN ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841235632",
"telephone_number": "801-284-1702",
"fax_number": "801-262-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5444 GREEN ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841235632",
"telephone_number": "801-284-1702",
"fax_number": "801-262-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANKIN",
"first_name": "RONALD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "UT",
"license": "153011-1205",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M-3007",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04393",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.