Active NPI
1St Choice Imaging, LLC
- Diagnostic Ultrasound Physician
- Powell, WY
National Provider Identifier
1306390232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 8444A
- Legal business name
- 1ST CHOICE IMAGING, LLC
- Practice address
- 120 N Bent St
Powell, WY 82435-2712 - Phone
- (307) 764-2322
- Fax
- (307) 764-2352
- NPI assigned
- Aug 9, 2016
- 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
- Jeffrey A Zuckerman, M.D.
- Title
- Owner
- Phone
- (307) 764-2322
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 Ultrasound Physician | 2085U0001X | 8444A | WY | Primary |
Addresses
Primary practice location
120 N Bent St
Powell, WY 82435-2712
Mailing address
PO Box 1330
Powell, WY 82435-1330
Phone (307) 754-3319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, PR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161221002007 | WY | Part B Supplier - Clinic/Group Practice | 4880975341 |
Receives reassigned benefits from 1 practitioner Practice locations: Powell, WY |
| O20240619002252 | PR | Part B Supplier - Clinic/Group Practice | 4880975341 |
Receives reassigned benefits from 1 practitioner Practice locations: San Juan, PR |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470700800000",
"number": "1306390232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1330",
"city": "POWELL",
"state": "WY",
"postal_code": "824351330",
"telephone_number": "307-754-3319",
"fax_number": "307-754-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N BENT ST",
"city": "POWELL",
"state": "WY",
"postal_code": "824352712",
"telephone_number": "307-764-2322",
"fax_number": "307-764-2352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1ST CHOICE IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-09",
"last_updated": "2016-08-09",
"status": "A",
"authorized_official_last_name": "ZUCKERMAN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "307-764-2322",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "WY",
"license": "8444A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Powell, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.