Medford Radiological Group PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MEDFORD RADIOLOGICAL GROUP PC

Practice address

2510 NW Edenbower Blvd
Suite #176
Roseburg, OR 97471-8899

Phone

(541) 957-1133

NPI assigned

Feb 3, 2011

Last updated

Feb 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael TroychakNPI 1841252913

Title

President

Phone

(541) 773-2493

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Medford Radiological Group PC

  • Diagnostic Radiology Physician
  • Bend, OR
  • NPI 1659813392

  O20100604000059

  Same enrollment
• Medford Radiological Group PC

  • Diagnostic Radiology Physician
  • Brookings, OR
  • NPI 1841503109

  O20100604000059

  Same enrollment
• Medford Radiological Group, PC

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1407938111

  O20100604000059

  Same enrollment

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.

• Michael J Troychak, M.D.

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1841252913
  Authorized official Same address or phone

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1285930545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3807",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 NW EDENBOWER BLVD",
            "address_2": "SUITE #176",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718899",
            "telephone_number": "541-957-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD RADIOLOGICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "TROYCHAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-773-2493"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Louis McNutt, DMD
• Charity B McSperitt, CSWA
• Bryan Michael McVay, MD
• Kristen M Mead, CHW
• Sandra Lynn Medak, D.C.
• Medical Park Pharmacy
• Medical Park Pharmacy
• Andrew Tyler Medlock
• Brielle Louise Meeds, PHARMD
• Peggy Lee Meharry

• Diagnostic Radiology Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.