Galesburg Radiology Associates, S.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

GALESBURG RADIOLOGY ASSOCIATES, S.C.

Practice address

695 N Kellogg St
Galesburg, IL 61401-2807

Phone

(877) 852-4669

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Subbia Jagannathan, M.D.NPI 1184679953

Title

President

Phone

(877) 852-4669

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

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

• Subbia G Jagannathan, M.D.

  • Diagnostic Radiology Physician
  • Galesburg, IL
  • NPI 1184679953
  NPD (past) Authorized official
• Muhammed S Anwer, M.D.

  • Diagnostic Radiology Physician
  • Galesburg, IL
  • NPI 1063450385
  NPD (past)
• Stephen E Lehnert, M.D.

  • Diagnostic Radiology Physician
  • Galesburg, IL
  • NPI 1154369478
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1285667311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1093",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604991093",
            "telephone_number": "877-852-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N KELLOGG ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012807",
            "telephone_number": "877-852-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALESBURG RADIOLOGY ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "JAGANNATHAN",
        "authorized_official_first_name": "SUBBIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-852-4669",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04815047",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM2090",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Galesburg Hospital Corporation (Galesburg Cottage Hospital)
• Galesburg Hospitals' Ambulance Service
• Galesburg Orthopedic Services, LTD
• Galesburg Pathology Group, S.C.
• Galesburg Professional Services LLC
• Galesburg Terrace Inc.
• Galesburg Wellness Systems P.C. (Galesburg Wellness Center)
• Jayleen K Galloway
• Galva Family Dentistry, Inc. (Sweetbriar Family Dentistry)
• Ramon Garcia, MD

• Diagnostic Radiology Physician in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.