Scy Imaging Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

R24941 Issued in TX

Legal business name

SCY IMAGING INC

Practice address

2722 Osler Blvd
Bryan, TX 77802-2517

Phone

(979) 695-9729

Fax

(800) 695-6382

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Curtis Yeldell

Title

President

Phone

(979) 695-9729

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1215055744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "LYONS",
            "state": "TX",
            "postal_code": "778630021",
            "telephone_number": "979-695-9729",
            "fax_number": "800-695-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022517",
            "telephone_number": "979-695-9729",
            "fax_number": "800-695-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCY IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "YELDELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-695-9729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "TX",
            "license": "R24941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "459884",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "630001470",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109541602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Schreckenbach, LMT
• Jordan Schueler
• Marc S Schwartz, MD
• Vanessa Scialom, PA-C
• Edwardo Raphael Scott
• Brian Rick Seabolt, M.D.
• Samuel Seale, DDS MS
• David Segrest, M.D.
• Morgan Sekula
• Jennifer Nicole Selman, COTA

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Bryan, TX
• Providers in Bryan, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.