Organization Active NPI

Precision Radiology Inc.

  • Diagnostic Radiology Physician
  • Sandusky, OH
National Provider Identifier
1215136163
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PRECISION RADIOLOGY INC.
Practice address
1101 Decatur Street
Sandusky, OH 44870-3335
Phone
(419) 557-7400
NPI assigned
Jul 12, 2007
Last updated
Jan 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Karen S Sheehan, MDNPI 1902805732
Title
President/Authorized Signer
Phone
(419) 626-3846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1101 Decatur Street
Sandusky, OH 44870-3335

Mailing address

10567 Sawmill Pkwy
Ste 100
Powell, OH 43065-6667
Phone (866) 439-9184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, UT, FL, SC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20070906000474 OH Part B Supplier - Clinic/Group Practice 1355434499 Receives reassigned benefits from 5 practitioners
Practice locations: Sandusky, OH; Walbridge, OH; Vermillion, OH; Uniontown, OH; Swanston, OH; Akron, OH; Clyde, OH; Curtice, OH…
O20250128001614 UT Part B Supplier - Clinic/Group Practice 1355434499 Receives reassigned benefits from 1 practitioner
Practice locations: Kamas, UT
O20251020002057 FL Part B Supplier - Clinic/Group Practice 1355434499 Receives reassigned benefits from 1 practitioner
Practice locations: Estero, FL
O20260227002552 SC Part B Supplier - Clinic/Group Practice 1355434499 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC

National Provider Directory

National Provider Directory

Locations

1031 Pierce St
Ste A
Sandusky, OH 44870
Phone (419) 557-5052

2500 W Strub Rd
Ste 130
Sandusky, OH 44870
Phone (419) 621-0858

1605 State Route 60
Ste 9
Vermilion, OH 44089
Phone (440) 967-1128

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1215136163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10567 SAWMILL PKWY",
            "address_2": "STE 100",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430656667",
            "telephone_number": "866-439-9184",
            "fax_number": "614-764-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 DECATUR STREET",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703335",
            "telephone_number": "419-557-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION RADIOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "419-626-3846",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.