Active NPI
Rosanne Crider
- Vascular Sonography Radiologic Technologist
- Butler, PA
National Provider Identifier
1144589888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- License
- 94361
- Practice address
- 107 Huckleberry LN
Butler, PA 16002-0629 - Phone
- (724) 427-7172
- NPI assigned
- May 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 94361 | PA | |
| Vascular Sonography Radiologic Technologist | 2471V0105X | 94361 | PA | Primary |
Addresses
Primary practice location
107 Huckleberry LN
Butler, PA 16002-0629
Mailing address
107 Huckleberry LN
Butler, PA 16002-0629
Phone (724) 427-7172
Other names 1
- Rosanne Bogan
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94361 | PA | MD | Vascular Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1144589888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 HUCKLEBERRY LN",
"city": "BUTLER",
"state": "PA",
"postal_code": "160020629",
"telephone_number": "724-427-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 HUCKLEBERRY LN",
"city": "BUTLER",
"state": "PA",
"postal_code": "160020629",
"telephone_number": "724-427-7172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIDER",
"first_name": "ROSANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "PA",
"license": "94361",
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "PA",
"license": "94361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSANNE",
"last_name": "BOGAN",
"credential": "RDMS,RVT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.