Active NPI
Smi Imaging LLC
Doing business as Simonmed Imaging
- Diagnostic Radiology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SMI IMAGING LLC
- Doing business as
- Simonmed Imaging
- Practice address
- 17218 N 72ND Dr Ste 101
Glendale, AZ 85308-8580 - Phone
- (623) 334-8671
- NPI assigned
- Dec 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Howard John Simon, MD
- Title
- Ceo
- Phone
- (480) 478-6545
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
17218 N 72ND Dr Ste 101
Glendale, AZ 85308-8580
Mailing address
6900 E Camelback Rd Ste 700
Scottsdale, AZ 85251-2400
Phone (480) 306-6949
Other names 1
- SIMONMED IMAGING
National Provider Directory
National Provider Directory- Tax ID family
- Simonmed Imaging
Organizations with this tax ID in the same state 22
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1073583068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607299200000",
"number": "1255937181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 E CAMELBACK RD STE 700",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852512400",
"telephone_number": "480-306-6949",
"fax_number": "602-302-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17218 N 72ND DR STE 101",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088580",
"telephone_number": "623-334-8671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMI IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A",
"authorized_official_last_name": "SIMON",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-478-6545",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SIMONMED IMAGING",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.