G & V Medical Services

Primary specialty

SpecialistTaxonomy code 174400000X

License

01042125A Issued in IN

Legal business name

G & V MEDICAL SERVICES

Doing business as

Highland Open MRI

Practice address

8149 Kennedy Ave
Suite a
Highland, IN 46322-1128

Phone

(219) 923-8540

Fax

(219) 923-6742

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Gopal Shah

Title

Owner

Phone

(219) 923-8540

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• HIGHLAND OPEN MRI Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1326146952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1154",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463081154",
            "telephone_number": "219-923-8540",
            "fax_number": "219-923-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8149 KENNEDY AVE",
            "address_2": "SUITE A",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221128",
            "telephone_number": "219-923-8540",
            "fax_number": "219-923-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & V MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-923-8540"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01042125A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD INDIANA",
            "identifier": "000000515082",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200868120A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ILLINOIS",
            "identifier": "90001299",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00433671",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGHLAND OPEN MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Highland, IN
• Providers in Highland, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.