NPIMap

Organization Active NPI

Advanced Radiologic Physicians, Inc.

  • Diagnostic Radiology Physician
  • Bowling Green, OH
National Provider Identifier
1174604334
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED RADIOLOGIC PHYSICIANS, INC.
Practice address
950 W. Wooster St.
Bowling Green, OH 43402-2603
Phone
(419) 354-8960
Fax
(419) 354-8957
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Patrick A. Gustine, MD
Title
President
Phone
(419) 354-8960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

950 W. Wooster St.
Bowling Green, OH 43402-2603

Mailing address

3455 Mill Run Dr.
Suite 450
Hilliard, OH 43026-9083
Phone (614) 771-2229

Other identifiers 7

IdentifierTypeStateIssuer
2117604MedicaidOH
2115688MedicaidOH
2522336MedicaidOH
0200900MedicaidOH
2190838MedicaidOH
9123890 00MedicaidFL
8759884MedicaidOH

Other names 1

  • X-Ray Associates, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

3455 Mill Run Dr
Ste 450
Hilliard, OH 43026

3113 Dustin Rd
Ste A
Oregon, OH 43616
Phone (419) 697-5265

28442 E River Rd
Ste 107
Perrysburg, OH 43551
Phone (419) 872-0666

3900 Sunforest Ct
Ste 136
Toledo, OH 43623
Phone (419) 474-1104

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1174604334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 MILL RUN DR.",
            "address_2": "SUITE 450",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269083",
            "telephone_number": "614-771-2229",
            "fax_number": "614-771-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W. WOOSTER ST.",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022603",
            "telephone_number": "419-354-8960",
            "fax_number": "419-354-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RADIOLOGIC PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "GUSTINE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-354-8960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117604",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2115688",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2522336",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200900",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2190838",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9123890 00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8759884",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "X-Ray Associates, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.