Organization Active NPI

Roentgen Associates, P.C.

  • Diagnostic Radiology Physician
  • Burton, MI
National Provider Identifier
1205925609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ROENTGEN ASSOCIATES, P.C.
Practice address
1198 N Belsay Rd BLDG 2
Burton, MI 48509-1669
Phone
(810) 743-6190
Fax
(810) 743-3202
NPI assigned
Oct 12, 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. Peter K. McLeod, M.D.
Title
President
Phone
(810) 743-6190

Specialties & licenses 1

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

Addresses

Primary practice location

1198 N Belsay Rd BLDG 2
Burton, MI 48509-1669

Mailing address

1198 N Belsay Rd BLDG 2
Burton, MI 48509-1669
Phone (810) 743-6190

Other identifiers 2

IdentifierTypeStateIssuer
1 25 9230OtherMIBCBS PROVIDER CODE
3B87661OtherMIHEALTH PLUS PROVIDER NO.

National Provider Directory

National Provider Directory

Locations

1198 N Belsay Rd
Bldg 2
Burton, MI 48509
Phone (810) 743-6190

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205925609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 N BELSAY RD BLDG 2",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091669",
            "telephone_number": "810-743-6190",
            "fax_number": "810-743-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 N BELSAY RD BLDG 2",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091669",
            "telephone_number": "810-743-6190",
            "fax_number": "810-743-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROENTGEN ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-743-6190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER CODE",
            "identifier": "1 25 9230",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS PROVIDER NO.",
            "identifier": "3B87661",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, 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.