Active NPI
Bay Area Radiology PC
- Diagnostic Radiology Physician
- Coos Bay, OR
National Provider Identifier
1144544792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BAY AREA RADIOLOGY PC
- Practice address
- 1775 Thompson Rd
Coos Bay, OR 97420-2125 - Phone
- (541) 269-8090
- Fax
- (541) 269-8459
- NPI assigned
- Mar 24, 2010
- 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
- Barbara A Michaelis, MD
- Title
- President
- Phone
- (559) 455-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1775 Thompson Rd
Coos Bay, OR 97420-2125
Mailing address
PO Box 2488
Unit 20
Portland, OR 97208-2488
Phone (559) 455-4000
National Provider Directory
National Provider DirectoryLocations
581 W Marine Corps Dr
Ste 201
Hagatna, GU 96910
Phone (671) 685-9412
581 W Marine Corps Dr
Ste 201
Hagatna, GU 96910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271203200000",
"number": "1144544792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2488",
"address_2": "UNIT 20",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972082488",
"telephone_number": "559-455-4000",
"fax_number": "559-455-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 THOMPSON RD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202125",
"telephone_number": "541-269-8090",
"fax_number": "541-269-8459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY AREA RADIOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-24",
"last_updated": "2010-04-14",
"status": "A",
"authorized_official_last_name": "MICHAELIS",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-455-4000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.