Organization Active NPI

Cardiac Imager PLLC

  • Nuclear Radiology Physician
  • Saginaw, MI
National Provider Identifier
1154498467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
L772520 Issued in MI
Legal business name
CARDIAC IMAGER PLLC
Practice address
2809 Emerald Park
Saginaw, MI 48603
Phone
(989) 498-4053
Fax
(989) 498-4052
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen Anthony Messana, DO
Title
Member President
Phone
(989) 498-4053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X L772520 MI Primary

Addresses

Primary practice location

2809 Emerald Park
Saginaw, MI 48603

Mailing address

2809 Emerald Park
Saginaw, MI 48603
Phone (989) 498-4053

Other identifiers 3

IdentifierTypeStateIssuer
P00900798OtherMIRR MEDICARE
4926274MedicaidMI
3157900774OtherMIBCBS OF MI

National Provider Directory

National Provider Directory

Locations

302 Center Ave
Bay City, MI 48708

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154498467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 EMERALD PARK",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48603",
            "telephone_number": "989-498-4053",
            "fax_number": "989-498-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 EMERALD PARK",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48603",
            "telephone_number": "989-498-4053",
            "fax_number": "989-498-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC IMAGER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MESSANA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEMBER PRESIDENT",
        "authorized_official_telephone_number": "989-498-4053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MI",
            "license": "L772520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00900798",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4926274",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "3157900774",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.