Organization Active NPI

Coldwater Radiology PC

  • Diagnostic Radiology Physician
  • Coldwater, MI
National Provider Identifier
1144280694
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MM033610 Issued in MI
Legal business name
COLDWATER RADIOLOGY PC
Practice address
274 E Chicago St
Coldwater, MI 49036-2041
Phone
(517) 279-5400
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Michael Damian Moleski, MD
Title
Radiologist
Phone
(517) 278-2246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MM033610 MI Primary

Addresses

Primary practice location

274 E Chicago St
Coldwater, MI 49036-2041

Mailing address

22 N Hudson St
PO Box 489
Coldwater, MI 49036-1610
Phone (517) 278-2246

Other identifiers 2

IdentifierTypeStateIssuer
1710073MedicaidMI
2956283MedicaidMI

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": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1144280694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N HUDSON ST",
            "address_2": "PO BOX 489",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361610",
            "telephone_number": "517-278-2246",
            "fax_number": "517-278-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362041",
            "telephone_number": "517-279-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDWATER RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "MOLESKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAMIAN",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "517-278-2246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "MM033610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710073",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2956283",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.