Active NPI
PJ Noss LLC
- Diagnostic Radiology Physician
- Hibbing, MN
National Provider Identifier
1285965079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 44231
- Legal business name
- PJ NOSS LLC
- Practice address
- 1200 E 25TH St
Hibbing, MN 55746-3897 - Phone
- (218) 312-3005
- NPI assigned
- Jan 19, 2010
- 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
- Phyllis Noss, M.D.
- Title
- Owner
- Phone
- (218) 312-3005
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 44231 | MN | Primary |
Addresses
Primary practice location
1200 E 25TH St
Hibbing, MN 55746-3897
Mailing address
1346 W Arrowhead Rd # 175
Duluth, MN 55811-2218
Phone (218) 310-8050
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087K5NO | Other | MN | BLUE CROSS BLUE SHIELD |
| 164104 | Other | MN | UCARE |
| 372124800 | Medicaid | MN | |
| 1602543 | Other | MN | MEDICA |
| DQ0614 | Other | MN | RAIL ROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Duluth, MN
- NPI 1487745253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272931200000",
"number": "1285965079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1346 W ARROWHEAD RD # 175",
"city": "DULUTH",
"state": "MN",
"postal_code": "558112218",
"telephone_number": "218-310-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E 25TH ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557463897",
"telephone_number": "218-312-3005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PJ NOSS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-19",
"last_updated": "2010-05-04",
"status": "A",
"authorized_official_last_name": "NOSS",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "218-312-3005",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "44231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "087K5NO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "164104",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372124800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1602543",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DQ0614",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.