NPIMap

Organization Active NPI

Proscan Open MRI North, LTD.

Doing business as ProScan Imaging Tri-County

  • Diagnostic Radiology Physician
  • Springdale, OH
National Provider Identifier
1225028392
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0496IC Issued in OH
Legal business name
PROSCAN OPEN MRI NORTH, LTD.
Doing business as
ProScan Imaging Tri-County
Practice address
11596 Springfield Pike
Suite 27
Springdale, OH 45246-3527
Phone
(513) 671-7800
Fax
(513) 671-7870
NPI assigned
Oct 28, 2005
Last updated
Dec 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Karen E Amaya
Title
Sr. Director, Corporate Administrat
Phone
(513) 924-5174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0496IC OH Primary

Addresses

Primary practice location

11596 Springfield Pike
Suite 27
Springdale, OH 45246-3527

Mailing address

5400 Kennedy Ave
Cincinnati, OH 45213-2664

Other identifiers 1

IdentifierTypeStateIssuer
2141275MedicaidOH

Other names 1

  • ProScan Imaging Tri-County Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000962 OH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6305746298 Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

11596 Springfield Pike
Ste 27
Springdale, OH 45246
Phone (513) 671-7800

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1225028392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11596 SPRINGFIELD PIKE",
            "address_2": "SUITE 27",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452463527",
            "telephone_number": "513-671-7800",
            "fax_number": "513-671-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSCAN OPEN MRI NORTH, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "AMAYA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR. DIRECTOR, CORPORATE ADMINISTRAT",
        "authorized_official_telephone_number": "513-924-5174"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "0496IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2141275",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProScan Imaging Tri-County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.