Mid American Imaging, Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

02220180040 Issued in OH

Legal business name

MID AMERICAN IMAGING, INC.

Practice address

659 Boulevard St
Dover, OH 44622-2026

Phone

(330) 343-3311

NPI assigned

Jun 7, 2006

Last updated

Dec 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas A. Poan

Title

SVP Corporate Finance

Phone

(949) 242-5321

Specialties & licenses 1

Addresses

Other identifiers 6

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Alliance Healthcare Services Inc

  • Mobile Radiology Clinic/Center
  • Evanston, IL
  • NPI 1083657332

  Member Of

  NPD member

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judy Blebea, MD

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
  • NPI 1497781744
  NPD (past)
• Roger C Collicott, MD

  • Family Medicine Physician
  • Danville, IN
  • NPI 1346203411
  NPD (past)
• James Steven Cook, MD

  • Neurology Physician
  • Gainesville, FL
  • NPI 1558359943
  NPD (past)
• G. Joseph Herr, MD

  • Neurology Physician
  • Danville, IN
  • NPI 1689657900
  NPD (past)
• Michael L. Pryce, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Cortland, NY
  • NPI 1972501682
  NPD (past)
• Sue C Schoonover, PAC

  • Physician Assistant
  • Modesto, CA
  • NPI 1497766430
  NPD (past)
• Lois J Talley, PA

  • Physician Assistant
  • Brownsburg, IN
  • NPI 1366621344
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1174563670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BAYVIEW CIRCLE",
            "address_2": "SUITE 400",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602984",
            "telephone_number": "800-544-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222026",
            "telephone_number": "330-343-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICAN IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "POAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SVP CORPORATE FINANCE",
        "authorized_official_telephone_number": "949-242-5321"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "OH",
            "license": "02220180040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47710-0001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731337",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2368727",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS/US DEPT OF LABOR",
            "identifier": "366270200",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF OHIO",
            "identifier": "000000166606",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDFOCUS RADIOLOGY NETWOR",
            "identifier": "23753",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie L Pence DO LLC
• Megan Leah Melzacki
• Danielle Menges, NP
• Mellisa Metz
• Ethan R Meyer
• David Anthony Migliore, D.D.S.
• Terrance A Migliore, DC
• Miguel a Bravo MD Surgical Associates Inc
• John Michael Milburn, R.N.
• Andrew Wade Miller, D.P.M.

• Mobile Radiology Clinic/Center in Dover, OH
• Providers in Dover, OH by specialty
• Mobile Radiology Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.