Active NPI
Smi Imaging LLC
Doing business as Simonmed Imaging
- Diagnostic Radiology Physician
- Phoenix, AZ
National Provider Identifier
1275139750
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
- 20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901 - Phone
- (623) 398-8079
- NPI assigned
- Dec 9, 2020
- Last updated
- Dec 9, 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
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901
Mailing address
6900 E Camelback Rd Ste 700
Scottsdale, AZ 85251-2400
Phone (480) 478-6545
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 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607472000000",
"number": "1275139750",
"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": "480-478-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20333 N 19TH AVE STE 230",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850279901",
"telephone_number": "623-398-8079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMI IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-09",
"last_updated": "2020-12-09",
"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": "",
"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 Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.