East Central Radiology

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

XF201156 Issued in IN

Legal business name

EAST CENTRAL RADIOLOGY

Doing business as

IMAGING Center of East Central Indiana

Practice address

2598 W White River Blvd
Muncie, IN 47303-5251

Phone

(765) 282-7595

Fax

(765) 288-0737

NPI assigned

Jun 4, 2006

Last updated

Oct 23, 2015By 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

Dr. Daniel John Daunhauer, MDNPI 1407802705

Title

Board Member

Phone

(765) 282-7595

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• IMAGING Center of East Central Indiana Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 6

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.

• Daniel J Daunhauer, MD

  • Diagnostic Radiology Physician
  • Portland, IN
  • NPI 1407802705
  Medicare reassignment NPD Authorized official
• Colleen M Madden, M.D.

  • Diagnostic Radiology Physician
  • Muncie, IN
  • NPI 1841345055
  Medicare reassignment NPD
• Michael J Malnofski, MD

  • Diagnostic Radiology Physician
  • Seymour, IN
  • NPI 1477593317
  Medicare reassignment NPD
• Leann Marie Stidham, M.D.

  • Diagnostic Radiology Physician
  • Seymour, IN
  • NPI 1750543591
  Medicare reassignment NPD
• Nathan M Strabala, MD

  • Diagnostic Radiology Physician
  • Seymour, IN
  • NPI 1164469060
  Medicare reassignment NPD
• Robert M Domke, MD

  • Diagnostic Radiology Physician
  • Muncie, IN
  • NPI 1386681773
  NPD

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1184663544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2598 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473035251",
            "telephone_number": "765-282-7595",
            "fax_number": "765-288-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2598 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473035251",
            "telephone_number": "765-282-7595",
            "fax_number": "765-288-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CENTRAL RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "DAUNHAUER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "765-282-7595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IN",
            "license": "XF201156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200151170A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200151170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMAGING Center of East Central Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Joan Earl
• East Central Indiana Oral and Maxillofacial Surgery, LLC
• East Central Indiana Pathologists PC
• East Central Indiana Primary Care Network (Muncie Internal Medicine)
• East Central Indiana Vascular Lab LLC
• Eastern Indiana Neurology, P.C.
• Matthew A Eaton, DO
• Ec Muncie Operations, LLC (Elmcroft of Muncie)
• Ec Opco Muncie, LLC (Muncie Estates Senior Living)
• Janeisha Eckford

• Radiology Clinic/Center in Muncie, IN
• Providers in Muncie, IN by specialty
• Radiology Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.