Sonographic Images, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

156765 Issued in IL

Legal business name

SONOGRAPHIC IMAGES, INC

Doing business as

Sonographic Images, Inc

Practice address

1021 W 5TH Ave
Gary, IN 46402-1703

Phone

(219) 836-4702

Fax

(708) 808-9755

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Wanda Logan, R.T.

Title

Ceo/Owner

Phone

(219) 836-4702

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sonographic Images, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Edward Beckett, M.D.

  • Diagnostic Radiology Physician
  • Oak Lawn, IL
  • NPI 1992704381
  NPD
• Wanda Cook Logan, RT,R DMS

  • Diagnostic Ultrasound Physician
  • Richton Park, IL
  • NPI 1548916000
  NPD

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1235246109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W 5TH AVE",
            "address_2": "221",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021703",
            "telephone_number": "219-836-4702",
            "fax_number": "708-808-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021703",
            "telephone_number": "219-836-4702",
            "fax_number": "708-808-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOGRAPHIC IMAGES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "219-836-4702",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "156765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100022050A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001618757",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonographic Images, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Telanee Smith
• Valdevia R Smith
• Wyatt L Smith, DDS
• Smiths Medical Asd, Inc.
• Rebecca Soboleski
• Savannah Lynn Soppet-Ryan, MD
• Sound Physicians of Indiana, LLC
• Morgan Nicole Southern, MSN-FNP
• Isadore Darrinton Sparks II, MS
• Shynese Tacquel Spencer

• Diagnostic Radiology Physician in Gary, IN
• Providers in Gary, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.