Organization Active NPI

Proscan Radiology, LLC

  • Diagnostic Radiology Physician
  • Gahanna, OH
National Provider Identifier
1336205707
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PROSCAN RADIOLOGY, LLC
Practice address
425 Beecher Rd
Suite B
Gahanna, OH 43230-6778
Phone
(614) 855-8740
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Ruth N Wallace
Title
Cfo
Phone
(513) 924-5183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

425 Beecher Rd
Suite B
Gahanna, OH 43230-6778

Mailing address

425 Beecher Rd
Suite B
Gahanna, OH 43230-6778
Phone (614) 855-8740

Other names 1

  • ProScan Imaging Gahanna Doing business as

National Provider Directory

National Provider Directory

Locations

425 Beecher Rd
Ste B
Gahanna, OH 43230
Phone (614) 855-8740

Practitioners & affiliated clinicians

Practitioners 2

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1336205707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BEECHER RD",
            "address_2": "SUITE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306778",
            "telephone_number": "614-855-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BEECHER RD",
            "address_2": "SUITE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306778",
            "telephone_number": "614-855-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSCAN RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-924-5183"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProScan Imaging Gahanna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.