Organization Active NPI

1St Choice Imaging, LLC

  • Diagnostic Ultrasound Physician
  • Powell, WY
National Provider Identifier
1306390232
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
8444A Issued in WY
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

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Jeffrey A Zuckerman, M.D.NPI 1326153701
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)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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, PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.