Advanced Medical Group, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ADVANCED MEDICAL GROUP, LLC

Practice address

311 N Keene St
Columbia, MO 65201-6623

Phone

(573) 442-1788

Fax

(573) 442-1789

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Greg Johnson

Title

Ceo

Phone

(573) 442-1788

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1134554538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016623",
            "telephone_number": "573-442-1788",
            "fax_number": "573-442-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-442-1788"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abiola Ganiyat Adesola, MD
• Shady Adib Keleh, M.D.
• Florence Ifeoma Adimora-Nweke, M.D.
• Charlene Adkins, M.D.
• Cary Dean Adkisson, F.N.P.
• Advanced Physical Health, P.C.
• Advanced Senior Care of Missouri Inc
• Advanced Senior Care, Inc
• Advanced Sleep Labs, L.L.C.
• Advanced Vision, LLC

• Diagnostic Radiology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.