Active NPI
Coldwater Radiology PC
- Diagnostic Radiology Physician
- Coldwater, MI
National Provider Identifier
1144280694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MM033610
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710073 | Medicaid | MI | |
| 2956283 | Medicaid | MI |
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.
-
- Diagnostic Radiology Physician
- Coldwater, MI
- NPI 1942203823
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.